EP3723655A1 - Systems and methods for instrument based insertion architectures - Google Patents
Systems and methods for instrument based insertion architecturesInfo
- Publication number
- EP3723655A1 EP3723655A1 EP18888402.7A EP18888402A EP3723655A1 EP 3723655 A1 EP3723655 A1 EP 3723655A1 EP 18888402 A EP18888402 A EP 18888402A EP 3723655 A1 EP3723655 A1 EP 3723655A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- shaft
- handle
- actuation mechanism
- instrument
- cable
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
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Definitions
- the systems and methods disclosed herein are directed to medical instruments, and more particularly to surgical tools for use in various types of surgeries.
- This description generally relates to medical instruments, and particularly to surgical tools for use m various types of surgeries, including laparoscopic, endoscopic, endoluminal and open surgeries.
- Robotic technologies have a range of applications.
- robotic arms help complete tasks that a human would normally perform.
- factories use robotic arms to manufacture automobiles and consumer electronics products.
- scientific facilities use robotic arms to automate laboratory procedures such as transporting microplates.
- physicians have started using robotic arms to help perform surgical procedures.
- a surgical tool is connected to the instrument device manipulator so that the instrument is away from a patient.
- the robotic arm then advances the instrument device manipulator and the instrument connected thereto towards a surgery site within the patient.
- the instrument is moved through a port in a body wall of the patient.
- a robotic arm typically has a linear insertion axis to provide the insertion degree of freedom . Difficulties can arise when the robotic arm is responsible for the linear insertion of an instrument. In particular, the mass of the robotic arm (alone or in combination with an instrument) can lead to a heavy swung mass and reduce performance at shallow insertion depths. In addition, reliance on the robotic arm for insertion reduces the working space available for a surgeon or assistant during a robotic surgical procedure.
- Embodiments of the application are directed to systems, devices and methods that reduce reliance on a robotic arm when linearly inserting an instrument.
- the systems, devices and methods described herein relate to instruments having instrument based linear insertion architectures.
- one or more instruments can be provided wherein a shaft of the instrument is capable of translation along an axis of insertion, thereby reducing reliance on the robotic arm for linear insertion.
- the robotic arm can still be used for linear insertion along with an instrument itself, in other embodiments, this motion is eliminated, thereby reducing the overall profile of the robot and minimizing swung mass at the end of the surgical robot arm.
- a medical device comprises a shaft, an end effector connected to the shaft, and a handle coupled to the shaft.
- the handle includes a first mechanical input and a second mechanical input.
- the first mechanical input is configured to cause actuation of the end effector, while the second mechanical input is configured to cause translation of the shaft relative to the handle.
- the actuation of the end effector is performed via a first actuation mechanism that is decoupled from a second actuation mechanism that causes the translation of the shaft relative to the handle.
- the first actuation mechanism can include a first cable that extends through a first set of pulleys, wherein manipulation of at least one pulley of the first set of pulleys via the first mechanical input causes a change of length of the first cable within the handle, thereby causing actuation of the end effector.
- the second actuation mechanism can include a second cable that engages a spool, wherein manipulation of the spool of the second set of pulleys via the second mechanical input causes the shaft to translate relative to the handle.
- the spool can be a capstan, such as a zero-walk capstan.
- the cable of the first actuation mechanism extends from the proximal portion of the shaft, through the first set of pulleys and to the distal portion of the shaft.
- the first actuation mechanism includes one or more cables that extend through a first set of pulleys
- the second actuation mechanism includes one or more cables and an insertion spool, wherein at least one or more cables of the first actuation mechanism terminates on the insertion spool.
- a medical system comprises a base, a tool holder coupled to the base, and an instrument.
- a robotic arm can be positioned between the base and the tool holder.
- the tool holder includes an attachment interface.
- the instrument comprises a shaft, an end effector and a handle having a reciprocal interface for attachment to the tool holder.
- the handle further includes a first mechanical input and a second mechanical input. The first mechanical input is configured to cause actuation of the end effector, while the second mechanical input is configured to cause translation of the shaft relative to the handle.
- the actuation of the end effector is performed via a first actuation mechanism that is decoupled from a second actuation mechanism that causes the translation of the shaft relative to the handle.
- the first actuation mechanism includes a first cable that extends through a first set of pulleys, wherein manipulation of at least one pulley of the first set of pulleys via the first mechanical input causes a change of length of the first cable within the handle, thereby causing actuation of the end effector, and wherein the translation of the shaft relative to the handle is performed via the second actuation mechanism that includes a second cable that engages a spool, wherein manipulation of the spool via the second mechanical input causes the shaft to translate relative to the handle.
- a surgical method comprises providing an instrument configured for delivery through an incision or natural orifice of a patient to perform a surgical procedure at a surgical site.
- the instrument comprises a shaft, a handle coupled to the shaft, and an end effector extending from the shaft.
- the shaft is capable of translation relative to the handle.
- the actuation of the end effector is performed via a first actuation mechanism that is decoupled from a second actuation mechanism that causes the translation of the shaft relative to the handle.
- the instrument includes a first actuation mechanism for actuating the end effector and a second actuation mechanism for translating the shaft relative to the handle, wherein the first actuation mechanism comprises a first set of pulleys and a first cable and the second actuation mechanism comprises a spool and a second cable.
- a surgical method comprises delivering an instrument through an incision or natural orifice of a patient to perform a surgical procedure at a surgical site.
- the instrument comprises a shaft, a handle coupled to the shaft, and an end effector extending from the shaft.
- the shaft is capable of translation relative to the handle.
- the actuati on of the end effector is performed via a first actuation mechanism that is decoupled from a second actuation mechanism that causes the translation of the shaft relative to the handle.
- the instrument includes a first actuation mechanism for actuating the end effector and a second actuation mechanism for translating the shaft relative to the handle, wherein the first actuation mechanism comprises a first set of pulleys and a first cable and the second actuation mechanism comprises a spool and a second cable.
- FIG. 1 A illustrates a surgical robotic system, according to one embodiment.
- FIG. IB illustrates a surgical robotic system, according to an alternative embodiment.
- FIG. 2 illustrates a command console for a surgical robotic system, according to one embodiment.
- FIG. 3 illustrates a perspective view of an instrument device manipulator for a surgical robotic system, according to one embodiment.
- FIG. 4 illustrates a side view of the instrument device manipulator of FIG 3, according to one embodiment.
- FIG. 5 illustrates a front-perspective exploded view of an example surgical tool secured to the instrument device manipulator of FIG. 3, according to one embodiment.
- FIG. 6 illustrates a back-perspective exploded view of an example surgical tool secured to the instrument device manipulator of FIG. 3, according to one embodiment.
- FIG. 7 illustrates a zoomed- in, perspective view of an actuation mechanism for engagement and disengagement of a surgical tool from a surgical tool holder, according to one embodiment.
- FIGS. 8A and SB illustrate a process of engaging and disengaging a surgical tool from a sterile adapter, according to one embodiment.
- FIGS. 9A and 9B illustrate a process of engaging and disengaging a surgical tool from a sterile adapter, according to an additional embodiment.
- FIG. 10A illustrates a perspective view of a mechanism for rolling a surgical tool holder within an instrument device manipulator, according to one embodiment.
- FIG 10B illustrates a cross-sectional view of an instrument device manipulator, according to one embodiment.
- FIGS. 10C and 10D illustrates partially exploded, perspective views of the internal components of an instrument device manipulator and certain electrical components thereof, according to one embodiment.
- FIG. 10E illustrates a zoomed-in, perspective view of electrical components of an instrument device manipulator for roll indexing the surgical tool holder, according to one embodiment.
- FIG. 11 illustrates a side view of an instrument having an instrument based insertion architecture, according to one embodiment.
- FIG. 12 illustrates a schematic diagram showing a first actuation mechanism for actuating an end effector, according to one embodiment.
- FIG. 13 illustrates a zoomed-in side view of a first actuation mechanism of the instrument of FIG. 11, according to one embodiment.
- FIG. 14 illustrates a zoomed-in perspective view of a first actuation mechanism of the instrument of FIG. 11, according to one embodiment.
- FIG. 15 illustrates a view of a pulley and cable of the instrument of FIG. 11 , prior to actuation of the pulley, according to one embodiment.
- FIG 16 illustrates a view of a pulley and cable of the instrument of FIG. 11, following actuation of the pulley, according to one embodiment
- FIG. 17 illustrates a side view of a second actuation mechanism including a spool for shaft translati on, according to one embodiment.
- FIG 18 illustrates a perspective view of an alternative spool using a single cable for shaft translation, according to one embodiment.
- FIG. 19 illustrates a perspective view of an alternative spool using more than one cable for shaft translation, according to one embodiment.
- FIG. 20 illustrates a front view of a handle including the spool of FIG. 18, according to one embodiment.
- FIG. 21 illustrates a schematic diagram showing an alternative architecture for actuating an end effector and shaft translation, according to one embodiment.
- FIG. 22 A illustrates a zoomed-in front view of an instrument incorporating the alternative architecture for actuating an end effector and shaft insertion of FIG. 21, according to one embodiment.
- FIG. 22B illustrates a top perspective view of an instrument incorporating the alternative architecture for actuating an end effector and shaft insertion of FIG. 21, according to one embodiment.
- FIG. 23 illustrates a top perspective view of a handle and shaft of an instrument, according to one embodiment.
- FIG. 24A illustrates a schematic view of a cross-section of an instrument shaft utilizing the insertion architecture shown in FIG. 12, according to one embodiment
- FIG 24B illustrates a schematic view' of a cross-section of an instrument shaft utilizing the insertion architecture shown in FIG 21, according to one embodiment.
- FIG. 25 illustrates a schematic diagram showing an architecture for driving a knife in a vessel sealer, according to one embodiment.
- FIG 26 illustrates a schematic diagram showing an alternative architecture for driving a knife in a vessel sealer, according to one embodiment.
- FIG 27 illustrates a schematic diagram showing yet another alternative architecture for driving a knife in a vessel sealer, according to one embodiment.
- FIG. 28 illustrates a schematic diagram showing an architecture for making a rigid camera an insertion instrument, according to one embodiment.
- FIG. 29 shows a first insertion architecture that allows a camera to be separated from an insertion handle, according to one embodiment.
- FIG. 32 illustrates a diagram showing an alternative architecture for shaft translation, according to another embodiment.
- FIG. 33 shov/s a side cross-sectional view of an instrument having multiple seals to prevent air leakage from a patient.
- FIG. 34 shows a front cross-sectional view of the instrument having the multiple seals.
- FIG. 1 A illustrates an embodiment of a surgical robotic system 100.
- the surgical robotic system 100 includes a base 101 coupled to one or more robotic arms, e.g., robotic arm 102.
- the base 101 is communicatively coupled to a command console, which is further described herein with reference to FIG. 2.
- the base 101 can be positioned such that the robotic arm 102 has access to perform a surgical procedure on a patient, while a user such as a physician may control the surgical robotic system 100 from the comfort of the command console.
- the base 101 may be coupled to a surgical operating table or bed for supporting the patient.
- a base 101 that is coupled to a robotic arm 102 can be coupled to a bed via one or more rails that extend along the bed (as shown in FIG. IB). Though not shown in FIG. 1 A for purposes of clarity, in some embodiments, the base 101 may include subsystems such as control electronics, pneumatics, power sources, optical sources, and the like.
- the robotic arm 102 includes multiple arm segments 110 coupled at joints 111, which provides the robotic arm 102 multiple degrees of freedom, e.g., seven degrees of freedom corresponding to seven arm segments.
- the base 101 may contain a source of power 112, pneumatic pressure 113, and control and sensor electronics 114—including components such as a central processing unit, data bus, control circuitry, and memory— and related actuators such as motors to move the robotic arm 102.
- the electronics 1 14 in the base 101 may also process and transmit control signals communicated from the command console.
- the base 101 includes wheels 1 15 to transport the surgical robotic system 100.
- Mobility of the surgical robotic system 100 helps accommodate space constraints in a surgical operating room as well as facilitate appropriate positioning and movement of surgical equipment. Further, the mobility allows the robotic arms 102 to be configured such that the robotic arms 102 do not interfere with the patient, physician, anesthesiologist, or any other equipment. During procedures, a user may control the robotic arms 102 using control devices such as the command console.
- the robotic arm 102 includes set up joints that use a combination of brakes and counter-balances to maintain a position of the robotic arm 102.
- the counter- balances may include gas springs or coil springs.
- the brakes e.g., fail safe brakes, may include mechanical and/or electrical components.
- the robotic arms 102 may be gravity- assisted passive support type robotic arms.
- Each robotic arm 102 may be coupled to an instrument device manipulator (IDM)
- the IDM 117 can serve as a tool holder.
- the IDM 117 can be removed and replaced with a different type of IDM, for example, a first type of IDM that manipulates an endoscope can be replaced with a second type of IDM that manipulates a laparoscope.
- the MCI 116 includes connectors to transfer pneumatic pressure, electrical power, electrical signals, and optical signals from the robotic arm 102 to the IDM 117.
- the MCI 116 can be a set screw or base plate connector.
- the IDM 117 manipulates surgical tools such as the instrument 118 using techniques including direct drive, harmonic drive, geared drives, belts and pulleys, magnetic drives, and the like.
- the MCI 116 is interchangeable based on the type of IDM 117 and can be customized for a certain type of surgical procedure.
- the robotic arm 102 can include joint level torque sensing and a wrist at a distal end.
- the tool or instrument 118 can comprise a laparoscopic, endoscopic and/or endoluminal instrument that is capable of performing a procedure at a surgical site of a patient.
- the instrument 118 comprises a laparoscopic instrument msertable into an incision of a patient.
- the laparoscopic instrument can comprise a rigid, semi-rigid or flexible shaft.
- the distal end of the shaft may be connected to an end effector that may comprise, for example, a wrist, a grasper, scissors or other surgical tool.
- the instrument 118 comprises an endoscopic surgical tool that is inserted into the anatomy of a patient to capture images of the anatomy (e.g., body tissue).
- the endoscopic instrument comprises a tubular and flexible shaft.
- the endoscope includes one or more imaging devices (e.g., cameras or sensors) that capture the images.
- the imaging devices may include one or more optical components such as an optical fiber, fiber array, or lens.
- the optical components move along with the tip of the instrument 118 such that movement of the tip of the instrument 118 results in changes to the images captured by the imaging devices.
- the instrument 118 comprises an endoluminal instrument insertabie through a natural orifice of a patient, such as a bronchoscope or urethroscope.
- the endoluminal instrument can comprise a tubular and flexible shaft. When designed for endoluminal surgery, the distal end of the shaft may be connected to an end effector that may comprise, for example, a wrist, a grasper, scissors, or other surgical tool.
- robotic arms 102 of the surgical robotic system 100 manipulate the instrument 118 using elongate movement members.
- the elongate movement members may include pull-wires, also referred to as pull or push wires, cables, fibers, or flexible shafts.
- the robotic arms 102 actuate multiple pull-wires coupled to the instrument 118 to deflect the tip of the instrument 118.
- the pull- wires may include both metallic and non- metallic materials such as stainless steel, Kevlar, tungsten, carbon fiber, and the like.
- the instrument 1 18 may exhibit nonlinear behavior in response to forces applied by the elongate movement members. The nonlinear behavior may be based on stiffness and compressibility of the instrument 118, as well as variability in slack or stiffness between different elongate movement members.
- the surgical robotic system 100 includes a controller 120, for example, a computer processor.
- the controller 120 includes a calibration module 125, image registration module 130, and a calibration store 135.
- the calibration module 125 can characterize the nonlinear behavior using a model with piecewise linear responses along with parameters such as slopes, hystereses, and dead zone values.
- the surgical robotic system 100 can more accurately control an endoscope 1 18 by determining accurate values of the parameters.
- some or all functionality of the controller 120 is performed outside the surgical robotic system 100, for example, on another computer system or server communicatively coupled to the surgical robotic system 100.
- FIG. IB illustrates a surgical robotic system, according to an alternative embodiment.
- the surgical robotic system in FIG. IB includes one or more robotic arms 102 having an IDM 117 and surgical tool or instrument 118 attached thereto.
- the one or more robotic arms 102 are attached to one or more adjustable rails 150 coupled to a patient platform 160 in the form of a bed.
- three robotic arms 102 are attached to an adjustable rail 150 on a first side of the patient platform 160, while two robotic arms 102 are attached to an adjustable rail 150 on a second side of the patient platform 160, thereby providing a system with bilateral arms.
- FIG. 2 illustrates a command console 200 for a surgical robotic system 100 according to one embodiment.
- the command console 200 includes a console base 201, display modules 202, e.g , monitors, and control modules, e.g., a keyboard 203 and joystick 204.
- one or more of the command module 200 functionality may be integrated into a base 101 of the surgical robotic system 100 or another system communicatively coupled to the surgical robotic system 100.
- a user 205 e.g., a physician, remotely controls the surgical robotic system 100 from an ergonomic position using the command console 200.
- the console base 201 may include a central processing unit, a memory unit, a data bus, and associated data communication ports that are responsible for interpreting and processing signals such as camera imagery and tracking sensor data, e.g., from the instrument 118 shown in FIG. 1 A. In some embodiments, both the console base 201 and the base 101 perform signal processing for load- balancing.
- the console base 201 may also process commands and instructions provided by the user 205 through the control modules 203 and 204.
- the control modules may include other devices, for example, computer mice, track pads, trackballs, control pads, video game controllers, and sensors (e.g., motion sensors or cameras) that capture hand gestures and finger gestures.
- the user 205 can control a surgical tool such as the instrument 118 using the command console 200 in a velocity mode or position control mode.
- velocity mode the user 205 directly controls pitch and yaw motion of a distal end of the instrument 118 based on direct manual control using the control modules.
- movement on the joystick 204 may be mapped to yaw and pitch movement in the distal end of the instrument 118.
- the joystick 204 can provide haptic feedback to the user 205
- the joystick 204 vibrates to indicate that the instrument 1 18 cannot further translate or rotate in a certain direction.
- the command console 200 can also provide visual feedback (e.g., pop-up messages) and/or audio feedback (e.g., beeping) to indicate that the instrument 118 has reached maximum translation or rotation.
- the command console 200 uses a three-dimensional (3D) map of a patient and pre-determmed computer models of the patient to control a surgical tool, e.g., the instrument 118.
- the command console 200 provides control signals to robotic arms 102 of the surgical robotic system 100 to manipulate the instrument 118 to a target location. Due to the reliance on the 3D map, position control mode requires accurate mapping of the anatomy of the patient.
- users 205 can manually manipulate robotic arms 102 of the surgical robotic system 100 without using the command console 200.
- the users 205 may move the robotic arms 102, instruments 118, and other surgical equipment to access a patient.
- the surgical robotic system 100 may rely on force feedback and inertia control from the users 205 to determine appropriate configuration of the robotic arms 102 and equipment.
- the display modules 202 may include electronic monitors, virtual reality viewing devices, e.g., goggles or glasses, and/or other means of display devices.
- the display modules 202 are integrated with the control modules, for example, as a tablet device with a touchscreen.
- the user 205 can both view data and input commands to the surgical robotic system 100 using the integrated display modules 202 and control modules.
- the display modules 202 can display 3D images using a stereoscopic device, e.g., a visor or goggle.
- the 3D images provide an“endo view” (i.e., endoscopic view), which is a computer 3D model illustrating the anatomy of a patient.
- The“endo view” provides a virtual environment of the patient’s interior and an expected location of an instrument 118 inside the patient.
- a user 205 compares the“endo view” model to actual images captured by a camera to help mentally orient and confirm that the instrument 118 is in the correct— or approximately correct— location within the patient.
- The“endo view” provides information about anatomical structures, e.g., the shape of an intestine or colon of the patient, around the distal end of the instrument 118.
- the display modules 202 can simultaneously display the 3D model and computerized tomography (CT) scans of the anatomy the around distal end of the instrument 118. Further, the display modules 202 may overlay pre-determined optimal navigation paths of the instrument 118 on the 3D model and CT scans.
- CT computerized tomography
- a model of the instrument 118 is displayed with the 3D models to help indicate a status of a surgical procedure.
- the CT scans identify a lesion m the anatomy where a biopsy may be necessary.
- the display modules 202 may show a reference image captured by the instrument 118 corresponding to the current location of the instrument 118.
- the display modules 202 may automatically display different views of the model of the instrument 118 depending on user settings and a particular surgical procedure.
- the display modules 202 show an overhead fluoroscopic view of the instrument 118 during a navigation step as the instrument 1 18 approaches an operative region of a patient.
- FIG. 3 illustrates a perspective view of an instrument device manipulator (IDM) 300 for a surgical robotic system
- FIG. 4 is a side view of the IDM 300, according to one embodiment.
- the IDM 300 is configured to attach a surgical tool or instrument to a robotic surgical arm in a manner that allows the surgical tool to be continuously rotated or“rolled” about an axis of the surgical tool.
- the IDM 300 includes a base 302 and a surgical tool holder assembly 304 coupled to the base.
- the surgical tool holder assembly 304 serves as a tool holder for holding an instrument 1 18.
- the surgical tool holder assembly 304 further includes an outer housing 306, a surgical tool holder 308, an attachment interface 310, a passage 312, and a plurality of torque couplers 314.
- the passage 312 comprises a through bore that extends from one face of the IDM 300 to an opposing face of the IDM 300.
- the IDM 300 may be used with a variety of surgical tools (not shown m FIG. 3), which may include a handle and an elongated body (e.g., a shaft), and which may he for a laparoscope, an endoscope, or other types of end-effectors of surgical tools.
- the base 302 removably or fixedly mounts the IDM 300 to a surgical robotic arm of a surgical robotic system.
- the base 302 is fixedly attached to the outer housing 306 of the surgical tool holder assembly 304.
- the base 302 may be structured to include a platform which is adapted to rotatably receive the surgical tool holder 308 on the face opposite from the attachment interface 310.
- the platform may include a passage aligned with the passage 312 to receive the elongated body of the surgical tool and, in some embodiments, an additional elongated body of a second surgical tool mounted coaxially with the first surgical tool.
- the surgical tool holder assembly 304 is configured to secure a surgical tool to the IDM 300 and rotate the surgical tool relative to the base 302.
- Mechanical and electrical connections are provided from the surgical arm to the base 302 and then to the surgical tool holder assembly 304 to rotate the surgical tool holder 308 relative to the outer housing 306 and to manipulate and/or deliver power and/or signals from the surgical arm to the surgical tool holder 308 and ultimately to the surgical tool
- Signals may include signals for pneumatic pressure, electrical power, electrical signals, and/or optical signals.
- the outer housing 306 provides support for the surgical tool holder assembly 304 with respect to the base 302.
- the outer housing 306 is fixedly attached to the base 302 such that it remains stationary relative to the base 302, while allowing the surgical tool holder 308 to rotate freely relative to the outer housing 306.
- the outer housing 306 is cylindrical m shape and fully circumscribes the surgical tool holder 308.
- the outer housing 306 may be composed of rigid materials (e.g., metals or hard plastics). In alternative embodiments, the shape of the housing may vary .
- the surgical tool holder 308 secures a surgical tool to the IDM 300 via the attachment interface 310.
- the surgical tool holder 308 is capable of rotating independent of the outer housing 306.
- the surgical tool holder 308 rotates about a rotational axis 316, which co-axially aligns with the elongated body of a surgical tool such that the surgical tool rotates with the surgical tool holder 308.
- the attachment interface 310 is a face of the surgical tool holder 308 that attaches to the surgical tool.
- the attachment interface 310 includes a first portion of an attachment mechanism that reciprocally mates wuth a second portion of the attachment mechanism located on the surgical tool, which wall be discussed in greater detail with regards to FIGS. 8A and 8B.
- the atachment interface 310 comprises a plurality' of torque couplers 314 that protrude outwards from the atachment interface 310 and engage with respective instrument inputs on the surgical tool.
- a surgical drape coupled to a sterile adapter, may be used to create a sterile boundary between the IDM 300 and the surgical tool.
- the sterile adapter may be positioned between the attachment interface 310 and the surgical tool when the surgical tool is secured to the IDM 300 such that the surgical drape separates the surgical tool and the patient from the IDM 300 and the surgical robotics system.
- the passage 312 is configured to receive the elongated body of a surgical tool when the surgical tool is secured to the attachment interface 310.
- the passage 312 is co-axially aligned with the longitudinal axis of the elongated body of the surgical tool and the rotational axis 316 of the surgical tool holder 308.
- the passage 312 allow3 ⁇ 4 the elongated body of the surgical tool to freely rotate within the passage 312. This configuration allows the surgical tool to be continuously rotated or rolled about the rotational axis 316 in either direction with minimal or no restrictions.
- the plurality of torque couplers 314 are configured to engage and drive the components of the surgical tool when the surgical tool is secured to the surgical tool holder 308.
- Each torque coupler 314 is inserted into a respective instrument input located on the surgical tool.
- the plurality of torque couplers 314 may also serve to maintain rotational alignment between the surgical tool and the surgical tool holder 308.
- each torque coupler 314 is shaped as a cylindrical protrusion that protrudes outwards from the attachment interface 310.
- Notches 318 may be arranged along the outer surface area of the cylindrical protrusion. In some embodiments, the arrangement of the notches 318 creates a spline interface.
- the instrument inputs on the surgical tool are configured to have a complementary geometry to the torque couplers 314.
- the instrument inputs of the surgical tool may be cylindrical in shape and have a plurality of ridges that reciprocally mate with the plurality of notches 318 on each torque coupler 314 and thus impart a torque on the notches 318.
- the top face of the cylindrical protrusion may include the plurality of notches 318 configured to mate with a plurality of ridges in respective instrument inputs. In this configuration, each torque coupler 314 fully engages with its respective instrument input.
- each torque coupler 314 may he coupled to a spring that allows the torque coupler to translate.
- the spring causes each torque coupler 314 to be biased to spring outwards away from the attachment interface 310.
- the spring is configured to create translation in an axial direction, i.e., protract away from the attachment interface 310 and retract towards the surgical tool holder 308.
- each torque coupler 314 is capable of partially retracting into the surgical tool holder 308.
- each torque coupler 314 is capable of fully retracting into the surgical tool holder 308 such that the effective height of each torque coupler is zero relative to the attachment interface 310.
- FIG. 3 the spring that allows the torque coupler to translate.
- the spring causes each torque coupler 314 to be biased to spring outwards away from the attachment interface 310.
- the spring is configured to create translation in an axial direction, i.e., protract away from the attachment interface 310 and retract towards the surgical tool holder 308.
- each torque coupler 314 is capable of partially retracting into
- each torque coupler 314 is actuated by an actuation mechanism, which will be described m further detail with regards to FIGS. 7-8.
- each torque coupler 314 may be coupled to a single spring, a plurality of springs, or a respective spring for each torque coupler.
- each torque coupler 314 is driven by a respective actuator that causes the torque coupler to rotate in either direction.
- each torque coupler 314 is capable of transmitting power to tighten or loosen pull-wires within a surgical tool, thereby manipulating a surgical tool’s end-effectors.
- the IDM 300 includes five torque couplers 314, but the number may vary in other embodiments depending on the desired number of degrees of freedom for a surgical tool’s end-effectors.
- a surgical drape coupled to a sterile adapter, may be used to create a sterile boundary between the IDM 300 and the surgical tool.
- the sterile adapter may be positioned between the attachment interface 310 and the surgical tool when the surgical tool is secured to the IDM 300, and the sterile adapter may be configured to transmit power from each torque coupler 314 to the respective instrument input.
- the embodiment of the IDM 300 illustrated in FIG. 3 may be used in various configurations with a surgical robotic system.
- the desired configuration may depend on the type of surgical procedure being performed on a patient or the type of surgical tool being used during the surgical procedure.
- the desired configuration of the IDM 300 may be different for an endoscopic procedure than for a laparoscopic procedure.
- the IDM 300 may be removably or fixedly attached to a surgical arm such that the attachment interface 310 is proximal to a patient during the surgical procedure.
- the surgical tool is secured to the IDM 300 on a side proximal to the patient.
- a surgical tool for use with the front-mount configuration is structured such that the elongated body of the surgical tool extends from a side that is opposite of the attachment interface of the surgical tool. As a surgical tool is removed from the IDM 300 m a front-mount configuration, the surgical tool will be removed in a proximal direction to the patient.
- the IDM 300 may be removably or fixedly attached to a surgical arm such that the attachment interface 310 is distal to a patient during the surgical procedure.
- this configuration hereinafter referred to as“back-mount configuration”
- the surgical tool is secured to the IDM 300 on a side distal to the patient.
- a surgical tool for use with the back-mount configuration is structured such that the elongated body of the surgical tool extends from the attachment interface of the surgical tool. This configuration increases patient safety during tool removal from the IDM 300. As a surgical tool is removed from the IDM 300 in a back-mount configuration, the surgical tool will be removed in a distal direction from the patient.
- the IDM 300 may be removably or fixedly attached to a surgical arm such that at least a portion of the surgical tool is positioned above the IDM 300, similar to the configuration shown in FIG. I A.
- a shaft of the surgical tool extends downwardly through the IDM 300.
- Certain configurations of a surgical tool may be structured such that the surgical tool can be used with an IDM in either a front-mount configuration or a back-mount configuration. in these configurations, the surgical tool includes an attachment interface on both ends of the surgical tool.
- the physician may decide the configuration of the IDM depending on the type of surgical procedure being performed. For instance, the back- mount configuration may be beneficial for laparoscopic procedures wherein laparoscopic tools may be especially long relative to other surgical tools.
- the increased length of laparoscopic tools causes the surgical arm to swing about a larger arc.
- the back-mount configuration decreases the effective tool length of the surgical tool by receiving a portion of the elongated body through the passage 312 and thereby decreases the arc of motion required by the surgical arm to position the surgical tool.
- FIGS. 5-6 illustrate perspective exploded views of an example surgical tool 500 secured to the instrument device manipulator 300 of FIG. 3, according to one embodiment.
- the surgical tool 500 includes a housing 502, an elongated body 504, and a plurality of instrument inputs 600.
- the elongated body 504 may be a laparoscope, an endoscope, or other surgical tool having end-effectors.
- the plurality of torque couplers 314 protrude outwards from the attachment interface 310 to engage with the instrument inputs 600 of the surgical tool.
- the structure of the instrument inputs 600 can be seen in FIG. 6, wherein the instrument inputs 600 have corresponding geometry to the torque couplers 314 to ensure secure surgical tool engagement.
- a surgical drape may be used to maintain a sterile boundary between the IDM 300 and an outside environment (i.e., an operating room).
- the surgical drape comprises a sterile adapter 506, a first protrusion 508, and a second protrusion 510.
- a sterile sheet is connected to the sterile adapter and the second protrusion and drapes around the 1DM 300 to create the sterile boundary.
- the sterile adapter 506 is configured to create a sterile interface between the IDM 300 and the surgical tool 500 when secured to the IDM 300.
- the sterile adapter 506 has a disk-like geometry- that covers the attachment interface 310 of the IDM 300.
- the sterile adapter 506 comprises a central hole 508 that is configured to receive the elongated body 504 of the surgical tool 500.
- the sterile adapter 506 is positioned between the attachment interface 310 and the surgical tool 500 when the surgical tool 500 is secured to the IDM 300, creating the sterile boundary between the surgical tool 500 and the IDM 300 and allowing the elongated body 504 to pass through the passage 312.
- the sterile adapter 506 may be capable of rotating with the surgical tool holder 308, transmitting the rotational torque from the plurality of torque couplers 314 to the surgical tool 500, passing electrical signals between the IDM 300 and the surgical tool 500, or some combination thereof.
- the sterile adapter 506 further comprises a plurality of couplers 512, A first side of a coupler 512 is configured to engage with a respective torque coupler 314 while a second side of a coupler 512 is configured to engage with a respective instrument input 600.
- each coupler 512 is structured as a cylindrical protrusion including a plurality of notches. Each side of the coupler 512 has complementary geometry- to fully engage with the respective torque coupler 314 and the respective instrument input 600. In some embodiments, the one or more instrument inputs 600 are referred to as mechanical inputs. Each coupler 512 is configured to rotate in a clockwise or counter-clockwise direction with the respective torque coupler 314. This configuration allows each coupler 512 to transfer rotational torque from the plurality of torque couplers 314 of the IDM 300 to the plurality of instrument inputs 600 of the surgical tool 500, and thus control the end-effectors of the surgical tool 500.
- the first protrusion 508 and the second protrusion 510 are configured to pass through the passage 312 of the IDM 300 and mate with each other inside the passage 312.
- Each protrusion 508, 510 is structured to allow the elongated body 504 to pass through the protrusion and thus the passage 312.
- the connection of the first protrusion 508 and the second protrusion 510 creates the sterile boundary between the IDM 300 and the outside environment (i.e., an operating room).
- FIG. 7 illustrates a zoomed-in, perspective view of an actuation mechanism for engagement and disengagement of a surgical tool 500 from a sterile adapter 506 of a surgical drape, according to one embodiment.
- the axis of surgical tool insertion into the patient during a surgical procedure is the same as the axis of surgical tool removal.
- the surgical tool 500 can be de-articulated from the sterile adapter 506 and the IDM 300 before removing the surgical tool 500.
- FIG. 1 illustrates a zoomed-in, perspective view of an actuation mechanism for engagement and disengagement of a surgical tool 500 from a sterile adapter 506 of a surgical drape, according to one embodiment.
- the plurality of couplers 512 are configured to translate in an axial direction, i.e., protract away from and retract towards the sterile adapter 506.
- the translation of the plurality of couplers 512 is actuated by the actuation mechanism which ensures de-articulation of the surgical tool 500 by disengaging the plurality of couplers 512 from the respective instrument inputs 600.
- the actuation mechanism includes a wedge 702 and a pusher plate 704.
- the wedge 702 is a structural component that activates the pusher plate 704 during the process of surgical tool disengagement.
- the wedge 702 is located within the housing 502 of the surgical tool 500 along the outer perimeter of the housing 502.
- the wedge 702 is oriented such that contact with the pusher plate 704 causes the pusher plate 704 to depress into the sterile adapter 506 if the housing 502 of the surgical tool 500 is rotated clockwise relative to the sterile adapter 506.
- the wedge 702 may be configured such that the housing 502 of the surgical tool 500 is rotated counter clockwise rather than clockwise.
- Geometries other than a wedge may be employed, such as an arch-shaped ramp, given that the structure is able to depress the pusher plate when rotating.
- the pusher plate 704 is an actuator that disengages the plurality' of couplers 512 from the surgical tool 500. Similar to the plurality of torque couplers 314, each of the couplers 512 may be coupled to one or more springs that bias each coupler 512 to spring outwards away from the sterile adapter 506. The plurality of couplers 512 are further configured to translate in an axial direction, i.e., protract away from and retract into the sterile adapter 506. The pusher plate 704 actuates the translational movement of the couplers 512.
- the pusher plate 704 causes the spring or plurality of springs coupled to each coupler 512 to compress, resulting in the couplers 512 retracting into the sterile adapter 506.
- the pusher plate 704 is configured to cause simultaneous retraction of the plurality of couplers 512. Alternate embodiments may retract the couplers 512 in a specific sequence or a random order.
- the pusher plate 704 causes the plurality of couplers 512 to partially retract into the sterile adapter 506. Tins configuration allows a surgical tool 500 to be de-articulated from the sterile adapter 506 before the surgical tool 500 is removed.
- Tins configuration also allows a user to de-articulate the surgical tool 500 from the sterile adapter 506 at any desired time without removing the surgical tool 500.
- Alternate embodiments may fully retract the plurality of couplers 512 into the sterile adapter 506 such that the effective height of each coupler 512 measured is zero.
- the pusher plate 704 may cause the plurality of torque couplers 314 to retract synchronously with the plurality of respective couplers 512.
- FIGS. 8A and SB illustrate a process of engaging and disengaging a surgical tool from a sterile adapter, according to one embodiment.
- FIG. 8 A illustrates a sterile adapter 506 and a surgical tool 500 in a secured position, such that the two components are secured together and the plurality of couplers 512 are fully engaged with respective instrument inputs 600 of the surgical tool 500. To achieve the secured position as illustrated in FIG.
- the elongated body- 504 (not shown) of the surgical tool 500 is passed through the central hole 508 (not shown) of the sterile adapter 506 until mating surfaces of the surgical tool 500 and the sterile adapter 506 are in contact, and the surgical tool 500 and the sterile adapter 506 are secured to each other by a latching mechanism.
- the latching mechanism comprises a ledge 802 and a latch 804.
- the ledge 802 is a structural component that secures the latch 804 in the secured position.
- the ledge 802 is located within the housing 502 of the surgical tool 500 along the outer perimeter of the housing 502. As illustrated in FIG. 8A, the ledge 802 is oriented such that it rests below a protrusion on the latch 804, preventing the latch 804 and thereby the sterile adapter 506 from pulling away from the surgical tool 500 due to the sprung-up nature of the plurality of couplers 512, as described with regards to FIG. 7.
- the latch 804 is a structural component that mates with the ledge 802 in the secured position. In the embodiment of FIG.
- the latch 804 protrudes from the mating surface of the sterile adapter 506.
- the latch 804 comprises a protrusion that is configured to rest against the ledge 802 when the surgical tool 500 is secured to sterile adapter 506.
- the housing 502 of the surgical tool 500 is capable of rotating independent of the rest of the surgical tool 500. This configuration allows the housing 502 to rotate relative to the sterile adapter 506 such that the ledge 802 is secured against the latch 804, thereby securing the surgical tool 500 to the sterile adapter 502.
- the housing 502 is rotated counter-clockwise to achieve the secured position, but other embodiments may be configured for clockwise rotation.
- the ledge 802 and the latch 804 may have various geometries that lock the sterile adapter 506 and the surgical tool 500 in the secured position.
- FIG. 8B illustrates the sterile adapter 506 and the surgical tool 500 in an unsecured position, in which the surgical tool 500 may be removed from the sterile adapter 506.
- the housing 502 of the surgical tool 500 is capable of rotating independent of the rest of the surgical tool 500. This configuration allows the housing 502 to rotate even while the plurality of couplers 512 are engaged with the instrument inputs 600 of the surgical tool 500.
- a user rotates the housing 502 of the surgical tool 500 clockwise relative to the sterile adapter 506.
- the wedge 702 contacts the pusher plate 704 and progressively depresses the pusher plate 704 as it slides against the angled plane of the wedge 702, thereby causing the plurality of couplers 512 to retract into the sterile adapter 506 and disengage from the plurality of instrument inputs 600.
- Further rotation causes the latch 804 to contact an axial cam 806, which is structured similar to wedge 702.
- the axial cam 806 causes the latch 804 to flex outwards away from the surgical tool 500 such that the latch 804 is displaced from the ledge 802.
- the axial cam 806 may have various geometries such that rotation causes the latch 804 to flex outwards.
- the direction of rotation of the housing 502 of the surgical tool 500 may be configured as counter-clockwise rotation to unsecure the latch 804 from the ledge 802.
- alternate embodiments may include similar components but the location of the components may be switched between the sterile adapter 506 and the surgical tool 500.
- the ledge 802 may be located on the sterile adapter 506 while the latch 804 may be located on the surgical tool 500.
- an outer portion of the sterile adapter 506 may be rotatable relative to the plurality of couplers 512 rather than the housing 502 of the surgical tool 500.
- Alternate embodiments may also include a feature to lock the rotation of the housing 502 of the surgical tool 502 when the housing 502 is fully rotated relative to the instrument inputs 600. This configuration prevents rotation of the surgical tool if the instrument inputs 600 have been de-articulated from the couplers 512,
- the retraction and protraction of the couplers 512 may he coupled with a respective retraction and protraction of the torque couplers 314, such that a coupler 512 engaged with a torque coupler 314 will translate together.
- FIGS. 9A and 9B illustrate a process of surgical tool engagement and disengagement of a surgical tool from a sterile adapter, according to another embodiment.
- a sterile adapter 900 may include an outer band 902 that secures the surgical tool 904 to the sterile adapter 900.
- the surgical tool 902 comprises a ramp 906 on the outer surface of the housing 908.
- the ramp 906 includes a notch 910 that is configured to receive a circular protrusion 912, which is positioned on an inner surface of the outer band 902 of the sterile adapter 900.
- the outer band 902 is capable of rotating independent of and relative to the sterile adapter 900 and the surgical tool 904. As the outer band 902 rotates in a first direction, the circular protrusion 912 glides up the surface of the ramp 906 until the circular protrusion 912 is nested within the notch 910, thereby securing the sterile adapter 900 and the surgical tool 904 together. Rotation of the outer band 902 m a second direction causes the sterile adapter 900 and the surgical tool 904 to unsecure from each other. In certain embodiments, this mechanism may be coupled with a de-articulation of the plurality of couplers 914 on the sterile adapter 900, as described with regards to FIGS. 7-8.
- Alternative embodiments of surgical tool disengagement may include additional features, such as an impedance mode.
- an impedance mode the surgical robotics system may control whether the surgical tool can be removed from the sterile adapter by a user. The user may initiate the disengagement mechanism by rotating the outer housing of the surgical tool and unsecuring the surgical tool from the sterile adapter, but the surgical robotics system may not release the couplers from the instrument inputs. Only once the surgical robotics system has transitioned into the impedance mode are the couplers released and the user can remove the surgical tool.
- An advantage of keeping the surgical tool engaged is that the surgical robotics system can control the end-effectors of the surgical tool and position them for tool removal before the surgical tool is removed to minimize damage to the surgical tool.
- the pusher plate 704 may have a hard-stop such that the pusher plate can be depressed up to a certain distance.
- the hard-stop of the pusher plate may ⁇ be adjustable such that the hard-stop coincides with the maximum amount of rotation of the housing of the surgical tool. Thus, once the full rotation is reached, the hard-stop is also met by the pusher plate.
- a plurality of sensors may detect these events and trigger the impedance mode.
- the hard-stop of the pusher plate may have compliance, such that the hard-stop may yield in an emergency.
- the hard-stop of the pusher plate may be coupled to a spring, allowing the hard-stop to yield in response to additional force.
- the hard-stop of the pusher plate may be rigid such that emergency tool removal occurs by removing the latch that secures the surgical tool to the sterile adapter.
- FIG. 10A illustrates a perspective view of a mechanism for rolling a surgical tool holder 308 within an instrument device manipulator 300, according to one embodiment.
- the attachment interface 310 is removed to expose the roll mechanism.
- This mechanism allows the surgical tool holder 308 to continuously rotate or“roll” about the rotational axis 316 m either direction.
- the roll mechanism comprises a stator gear 1002 and a rotor gear 1004.
- the stator gear 1002 is a stationary gear configured to mate with the rotor gear 1004.
- the stator gear 1002 is a ring-shaped gear comprising gear teeth along the inner circumference of the ring.
- the stator gear 1002 is fixedly attached to the outer housing 306 behind the attachment interface 310.
- the stator gear 1002 has the same pitch as the rotor gear 1004, such that the gear teeth of the stator gear 1002 are configured to mate with the gear teeth of the rotor gear 1004.
- the stator gear 1002 may be composed of rigid materials (e.g., metals or hard plastics).
- the rotor gear 1004 is a rotating gear configured to induce rotation of the surgical tool holder 308.
- the rotor gear 1004 is a circular gear comprising gear teeth along its outer circumference.
- the rotor gear 1004 is positioned behind the attachment interface 310 and within the inner circumference of the stator gear 1002 such that the gear teeth of the rotor gear 1004 mate with the gear teeth of the stator gear.
- the rotor gear 1004 and the stator gear 1002 have the same pitch.
- the rotor gear 1004 is coupled to a drive mechanism (e.g., a motor) that causes the rotor gear 1004 to rotate in a clockwise or counter-clockwise direction.
- a drive mechanism e.g., a motor
- the drive mechanism may receive signals from an integrated controller within the surgical tool holder assembly 304. As the drive mechanism causes the rotor gear 1004 to rotate, the rotor gear 1004 travels along the gear teeth of the stator gear 1002, thereby causing the surgical tool holder 308 to rotate. In this
- the rotor gear 1004 is capable of continuously rotating in either direction and thus allows the surgical tool holder 308 to achieve infinite roll about the rotational axis 316.
- Alternate embodiments may use similar mechanisms to allow for infinite roll, such as a configuration of a ring gear and a pinion gear.
- FIG. 10B illustrates a cross-sectional view of an instrument device manipulator 300, according to one embodiment.
- the roll mechanism is coupled with a plurality of bearing 1006.
- a bearing is a mechanical component that reduces friction between moving parts and facilitates rotation around a fixed axis.
- One bearing alone can support the radial or torsional loading as the surgical tool holder 308 rotates within the outer housing 306.
- the lDM 300 includes two bearings 1006a, 1006b fixedly attached to the surgical tool holder 308 such that a plurality of components (such as balls or cylinders) within the hearings 1006 contacts the outer housing 306.
- a first bearing 1006a is secured at a first end behind the attachment interface 310 and a second bearing 1006b is secured at a second end.
- This configuration improves rigidity and support between the first end and the second end of the surgical tool holder 308 as the surgical tool holder 308 rotates within the outer housing 306.
- Alternate embodiments may include additional bearings that provide additional support along the length of the surgical tool holder.
- FIG. 10B also illustrates sealing components within the IBM 300, according to one embodiment.
- the IBM 300 comprises a plurality of O-rings 1008 and a plurality of gaskets 1010 which are configured to seal a junction between two surfaces to prevent fluids from entering the junction.
- the IDM includes O-rings 1008a, 1008b, 1008c, 1008d, !008e between junctions of the outer housing and gaskets 1010a, 1010b between junctions within the surgical tool holder 308. This configuration helps to maintain sterility' of the components within the IDM 300 during a surgical procedure.
- Gaskets and 0-nngs are typically composed of strong elastomeric materials (e.g., rubber).
- FIG. 10C illustrates a partially exploded, perspective view of the internal components of an instrument device manipulator and certain electrical components thereof, according to one embodiment.
- the internal components of the surgical tool holder 308 include a plurality of actuators 1 102, a motor, a gearhead (not shown), a torque sensor (not shown), a torque sensor amplifier 1 1 10, a slip ring 1 1 12, a plurality of encoder boards 1114, a plurality of motor power boards 1 1 16, and an integrated controller 1118.
- the plurality of actuators 1102 drive the rotation of each of the plurality of torque couplers 314.
- an actuator such as 1102a or 1102b, is coupled to a torque coupler 314 via a motor shaft.
- the motor shaft may be a keyed shaft such that it includes a plurality of grooves to allow the motor shaft to securely mate to a torque coupler 314.
- the actuator 1102 causes the motor shaft to rotate in a clockwise or counter-clockwise direction, thereby causing the respective torque coupler 314 to rotate in that direction.
- the motor shaft may be torsionaily rigid but spring compliant, allowing the motor shaft and thus the torque coupler 314 to rotate and to translate in an axial direction. This configuration may allow the plurality of torque couplers 314 to retract and protract within the surgical tool holder 308.
- Each actuator 1102 may receive electrical signals from the integrated controller 1118 indicating the direction and amount to rotate the motor shaft.
- the surgical tool holder 308 includes five torque couplers 314 and thus five actuators 1 102
- the motor drives the rotation of the surgical tool holder 308 within the outer housing 306.
- the motor may be structurally equivalent to one of the actuators, except that it is coupled to the rotor gear 1004 and stator gear 1002 (see FIG. 10 A) for rotating the surgical tool holder 308 relative to the outer housing 306.
- the motor causes the rotor gear 1004 to rotate in a clockwise or counter-clockwise direction, thereby causing the rotor gear 1004 to travel about the gear teeth of the stator gear 1002.
- This configuration allows the surgical tool holder 308 to continuously roll or rotate without being hindered by potential wind-up of cables or pull-wires.
- the motor may receive electrical signals from the integrated controller 1118 indicating the direction and amount to rotate the motor shaft.
- the gearhead controls the amount of torque delivered to the surgical tool 500.
- the gearhead may increase the amount of torque delivered to the instr ument inputs 600 of the surgical tool 500.
- Alternate embodiments may be configured such that the gearhead decreases the amount of torque delivered to the instrument inputs 600.
- the torque sensor measures the amount of torque produced on the rotating surgical tool holder 308.
- the torque sensor is capable of measuring torque in the clockwise and the counter-clockwise direction.
- the torque sensor amplifier 1110 comprises circuitry for amplifying the signal that measures the amount of torque produced on the rotating surgical tool holder 308. In some embodiments, the torque sensor is mounted to the motor.
- the slip ring 1112 enables the transfer of electrical power and signals from a stationary structure to a rotating structure.
- the slip ring 1112 is structured as a ring including a central hole that is configured to align with the passage 312 of the surgical tool holder 308, as is also shown in an additional perspective view of the slip ring 1 1 12 in FIG. 10D.
- a first side of the slip ring 1 1 12 includes a plurality of concentric grooves 1 120 while a second side of the slip ring 1112 includes a plurality of electrical components for the electrical connections provided from the surgical arm and the base 302, as described with regards to FIG. 3.
- the slip ring 1112 is secured to the outer housing 306 of the surgical tool holder 308 at a specific distance from the outer housing 306 to allocate space for these electrical connections.
- the plurality of concentric grooves 1 120 are configured to mate with a plurality of brushes 1122 attached to the integrated controller. The contact between the grooves 1120 and the brushes 1122 enables the transfer of electrical power and signals from the surgical arm and base to the surgical tool holder.
- the plurality of encoder boards 1114 read and process the signals received through the slip ring from the surgical robotic system.
- Signals received from the surgical robotic system may include signals indicating the amount and direction of rotation of the surgical tool, signals indicating the amount and direction of rotation of the surgical tool’s end-effectors and/or wrist, signals operating a light source on the surgical tool, signals operating a video or imaging device on the surgical tool, and other signals operating various functionalities of the surgical tool.
- the configuration of the encoder boards 1114 allows the entire signal processing to be performed completely in the surgical tool holder 308.
- the plurality' of motor power boards 1116 each comprises circuitry' for providing power to the motors.
- the integrated controller 1118 is the computing device within the surgical tool holder 308.
- the integrated controller 1118 is structured as a ring including a central hole that is configured to align with the passage 312 of the surgical tool holder 308.
- the integrated controller 1 1 18 includes a plurality of brushes 1122 on a first side of the integrated controller 1 1 18.
- the brushes 1 122 contact the slip ring 1 1 12 and receive signals that are delivered from the surgical robotics system through the surgical arm, the base 302, and finally through the slip ring 1112 to the integrated controller 1118
- the integrated controller 1 118 is configured to send various signals to respective components within the surgical tool holder 308.
- the functions of the encoder boards 1114 and the integrated controller 1118 may be distributed in a different manner than is described here, such that the encoder boards 1114 and the integrated controller 1118 may perform the same functions or some combination thereof.
- FIG. 10D illustrates a partially exploded, perspective view of the internal components of an instrument device manipulator and certain electrical components thereof, according to one embodiment.
- the embodiment of FIG. 10D includes two encoder boards 1114a and 1 1 14b, a torque sensor amplifier 1110, and three motor power boards 1116a, 1116b, and 1116c. These components are secured to the integrated controller 1118 and protrude outwards, extending perpendicularly from the integrated controller 1118. This configuration provides room for the plurality of actuators 1102 and motor to be positioned within the electrical boards.
- the slip ring 1112 is secured at a specific distance from the outer housing 306.
- the slip ring 1112 is supported by a plurality of alignment pins, a plurality of coil springs, and a shim.
- the slip ring 1112 includes a hole 1124 on each side of the center hole of the slip ring 1112 that is configured to accept a first side of an alignment pin while a second side of the alignment pin is inserted into a respective hole in the outer housing 306.
- the alignment pins may be composed of rigid materials (e.g., metal or hard plastics).
- the plurality of coil springs is secured around the center of the slip ring 1112 and configured to bridge the space and maintain contact between the slip ring 1 1 12 and the outer housing 306.
- the coil springs may beneficially absorb any impact to the TDM 300.
- the shim is rmg-shaped spacer that is positioned around the center hole of the slip ring 1112 to add further support between the slip ring 1112 and the outer housing 306.
- these components provide stability to the slip ring 1 112 as the plurality of brushes 1 122 on the integrated controller 1118 contact and rotate against the plurality of concentric grooves 1120.
- the number of alignment pins, coil springs, and shims may vary until the desired support between the slip ring 1 1 12 and the outer housing 306 is achieved.
- FIG. 10E illustrates a zoomed-m, perspective view of electrical components of an instrument device manipulator 300 for roll indexing the surgical tool holder 308, according to one embodiment.
- Roll indexing monitors the position of the surgical tool holder 308 relative to the outer housing 306 such that the position and orientation of the surgical tool 500 is continuously known by the surgical robotics system.
- the embodiment of FIG. 10E includes a micro switch 1202 and a boss 1204.
- the micro switch 1202 and the boss 1204 are secured within the surgical tool holder 308.
- the boss 1204 is a structure on the outer housing 306 that is configured to contact the micro switch 1202 as the surgical tool holder 308 rotates, thus activating the micro switch each time there is contact with the boss 1204.
- Various tools or instruments can attach to the IDM 300, including instruments used for laparoscopic, endoscopic and endolummal surgery.
- the instruments described herein are particularly novel, as they include instrument based insertion architectures that reduce the reliance on robotic arms for insertion. In other words, insertion of an instrument (e.g., towards a surgical site) can be facilitated by the design and architecture of the instrument.
- an instrument comprises an elongated shaft and a handle
- the architecture of the instrument enables the elongated shaft to translate relative to the handle along an axis of insertion.
- the instruments described herein incorporate instrument based insertion architectures that alleviate many issues.
- Instruments that do not incorporate an instrument based insertion architecture rely on a robotic ann and its IDM for insertion in this arrangement, to achieve instrument insertion, the IDM may need to be moved m and out, therefore requiring additional motor power and arm link size for moving the additional mass in a controlled manner.
- the larger volume creates a much larger swept volume that can result in collisions during operation.
- the instruments described herein typically have a reduced swung mass, as the instrument itself (e.g., its shaft) moves along an insertion axis with less reliance on the robotic arm.
- Some embodiments of the instruments described herein may have novel instrument based insertion architectures that not only allow' for insertion of the instrument, but also allow an end effector of the instrument to actuate without interference. For example, in some
- an instrument comprises a first actuation mechanism for actuating an end effector and a second actuation mechanism for causing translation of a portion of the instrument (e.g., a shaft) along an axis of insertion.
- the first actuation mechanism is advantageously decoupled from the second actuation mechanism such that the actuation of the end effector is not affected by the insertion of the instrument, and vice versa.
- FIG. 11 illustrates a side view of an instrument having an instrument based insertion architecture, according to one embodiment.
- the design and architecture of the instrument 1200 enables the instrument (e.g., its shaft) to translate along an insertion axis with less reliance on movement of a robotic arm for insertion.
- the instrument 1200 comprises an elongated shaft 1202, an end effector 1212 connected to the shaft 1202, and a handle 1220 coupled to the shaft 1202.
- the elongated shaft 1202 comprises a tubular member having a proximal portion 1204 and a distal portion 1206.
- the elongated shaft 1202 comprises one or more channels or grooves 1208 along its outer surface.
- the grooves 1208, which are most visible in the cross-sectional view of the shaft 1202, are configured to receive one or more wires or cables 1230 therethrough.
- One or more cables 1230 thus run along an outer surface of the elongated shaft 1202.
- cables 1230 can also ran through the shaft 1202, as shown m the schematic drawing in FIG. 21.
- cables 1230 that run through the shaft 1202 are not exposed.
- manipulation of the one or more of these cables 1230 results in actuation of the end effector 1212.
- the end effector 1212 comprises one or more laparoscopic, endoscopic or endo!umina! components designed to provide an effect to a surgical site.
- the end effector 1212 can comprise a wrist, grasper, tines, forceps, scissors, or clamp.
- one or more of the cables 1230 that extend along the grooves 1208 on the outer surface of the shaft 1202 actuate the end effector 1212,
- the one or more cables 1230 extend from a proximal portion 1204 of the shaft 1202, through the handle 1220 and toward a distal portion 1206 of the shaft 1202, where they actuate the end effector 1212.
- the instrument handle 1220 which may also be referred to as an instrument base, may generally comprise an attachment interface 1222 having one or more mechanical inputs 1224, e.g., receptacles, pulleys or spools, that are designed to be reciprocally mated with one or more torque couplers 314 on an attachment interface 310 of the IDM 300 (shown in FIG. 3).
- mechanical inputs 1224 e.g., receptacles, pulleys or spools, that are designed to be reciprocally mated with one or more torque couplers 314 on an attachment interface 310 of the IDM 300 (shown in FIG. 3).
- the attachment interface 1222 is capable of attaching to an IDM 300 via front-mount, back- mount and/or top mount.
- the mated mechanical inputs 1224 of the instrument handle 1220 may share axes of rotation with the torque couplers 314 of the IDM 300, thereby allowing the transfer of torque from the IDM 300 to the instrument handle 1220.
- the torque couplers 314 may comprise splines that are designed to mate with receptacles on the mechanical inputs.
- Cables 1230 that actuate the end effector 1212 engage the receptacles, pulleys or spools of the handle 1220, such that the transfer of torque from the IDM 300 to the instrument handle 1220 results m actuation of the end effector.
- Some embodiments of the instrument 1200 comprise a first actuation mechanism that controls actuation of the end effector 1212.
- An embodiment of such a first actuation mechanism is schematically illustrated in FIG. 12.
- the instrument 1200 includes a second actuation mechanism that enables the shaft 1202 to translate relative to the handle 1220 along an axis of insertion.
- An embodiment of such a second actuation mechanism is shown in FIG. 17.
- the first actuation mechanism is decoupled from the second actuation mechanism, such that actuation of the end effector 1212 is not affected by the translation of the shaft 1202, and vice versa.
- Embodiments of the first and second actuation mechanisms that can be incorporated into a tool or instrument 1200 are described in more detail below with respect to FIGS. 12-20.
- FIG. 12 illustrates a schematic diagram showing a first actuation mechanism for actuating an end effector, according to one embodiment.
- the first actuation mechanism provides N+l wrist motion, wherein N is the number of degrees of freedom provided by N+l cables.
- the first actuation mechanism for actuating the end effector 1212 comprises at least one cable or cable segment 1230a that extends through at least one set of pulleys 1250.
- a first cable or cable segment 1230a extends through pulley members 1250a, 1250b, 1250c, while a second cable or cable segment 1230a extends through pulley members 1250d, 1250e, 1250f.
- the at least one cable 1230a is grounded at or near the proximal end 1205 of the shaft 1202, then extends through the at least one set of pulleys 1250 (which are located within the handle 1220), before terminating at the end effector 1212.
- Cable total path length is kept constant by grounding each cable 1230a at or near the proximal end 1205 of the shaft 1202, and relative length changes are made by moving pulleys (e.g., pulley members 1250b and 1250e) relative to each other (see arrows), thereby enabling actuation of the end effector 1212.
- the pulleys can be moved via linear or rotaiy motion of corresponding mechanical inputs 1224.
- This first actuation mechanism advantageously permits free movement of the instrument shaft 1202 relative to the actuation pulleys 1250 (which will be accomplished by a second actuation mechanism described below), thereby allowing an additional cable to be included to permit insertion and retraction of the instrument shaft 1202 at the same time as end effector 1212 actuation.
- FIG. 13 illustrates a zoomed- in side view of a first actuation mechanism of the instrument of FIG 11, according to one embodiment.
- the handle 1220 includes a set of bearings, spools, pulleys or pulley members 1250a, 1250b, 1250c, ! 250d, 1250e (wherein pulleys 1250a, 1250b, 1250c correspond to the same set of pulleys in FIG. 12).
- a cable 1230a extends through the pulleys 1250a, 1250d, 1250b, 1250e, 1250c.
- the pulleys 125Qd, 1250e can either wound or“take up” cable 1230 m the handle 1220, or can unwound and“give out” cable 1230a in the handle 1220.
- the length of the cable 1230a changes within the handle 1220, thereby causing actuation of the end effector 1212.
- the embodiment in FIG. 13 depicts a pulley system that is modified by rotary motion, in other embodiments, the pulley system can be modified by linear and/or rotary motion.
- a change in length in the amount of cable 1230a in the handle 1220 can also change cable tension.
- FIG. 14 illustrates a zoomed-in perspective view- of a first actuation mechanism of the instrument of FIG. 11, according to one embodiment. From this viewy one can see different details of the pulleys 1250a-e including the spools of the pulleys 1250a, 1250c.
- FIGS. 15 and 16 illustrate a front view of a pulley member !250e and cable of the instrument of FIG. 11, before and after actuation of the pulley member, according to one embodiment.
- Applying torque on the mechanical input 1224’ rotates pulleys I250e, 1250b and 1250d.
- cable 1230a can run along one side of the pulley 1250e.
- the cable 1230a is then wound and taken up by the pulley, thereby increasing the amount of cable 1230a within the handle 1220 to cause actuation of an end effector.
- FIGS. 1 1 -16 disclose one or more pulleys mounted on a rotary axis to change relative cable length
- mounting a pulley on a lever, gear or track based system to adjust location are additional options.
- ball spline rotary shafts that travel down a length of a tool could also be used to transmit forces in a mechanically remote way.
- FIG. 17 illustrates a side view of a second actuation mechanism including a spool for shaft translation, according to one embodiment.
- the second actuation mechanism is designed to translate the shaft 1202 relative to the handle 1220 along an axis of insertion.
- the second actuation mechanism can also be incorporated within the handle 1220.
- the second actuation mechanism comprises a cable or cable segment 1230b that engages a set of spools 1270a, 1270b, 1270c, 1270d.
- One end of the cable 1230b can be attached at or near a proximal end 1205 of the shaft 1202, while the other end of the cable 1230b can be attached at or near a distal end 1207 of the shaft 1202.
- the cable 1230b extends through the set of spools 1270a, 1270b, 1270c, of which spool 1270b is a capstan. Rotating a mechanical input of the handle 1220 causes rotation of the capstan, thereby driving cable 1230b in and out of the capstan.
- the capstan 1270b comprises a zero-walk capstan.
- a capstan can be incorporated into the handle 1220 that can allow for cable walk.
- the zero-walk capstan architecture helps to manage multiple wraps of cable 1230b around the capstan 1270b without a helix angle on the groove to prevent the cable walk across the capstan 1270b, which could affect overall path length and change tension m the cable.
- By placing an additional pulley 1270d on an incline next to the capstan 1270b a redirect to a parallel path on the capstan 1270b can be achieved, resulting in no walking action of the cable 1230b on the capstan 1270b.
- FIGS. 18 and 19 present alternative embodiments to the zero- walk capstan shown in FIG. 17.
- the capstan that drives shaft insertion is an enlarged capstan 1270e that can be incorporated into the architecture of the second actuation mechanism.
- the number of rotations of the capstan is small. For example, with a 22 mm drive capstan 1270e and a 350 mm insertion stroke, the number of rotations of the capstan 1270e for full insertion range is 5 rotations.
- the amount of fleet angle on the cable and path length change during insertion is small enough to be negligible.
- the fleet angle can be between +/- 2 degrees.
- FIG. 18 illustrates a perspective view of an alternative spool using a single cable for shaft translation, according to one embodiment.
- the alternative spool comprises an enlarged capstan !270e which is engaged by a single cable 1230b.
- the single cable 1230b has a large enough wrap angle to have enough capstan friction to drive.
- the single cable 1230b is continuous and wraps around the capstan 127Qe multiple times (e.g., 3, 4 or more times) to have a large enough wrap angle to drive the capstan and insertion
- FIG. 19 illustrates a perspective view of an alternative spool using more than one cable for shaft translation, according to one embodiment.
- the alternative spool comprises an enlarged capstan 127Qe which is engaged by two separate segments 1230b’, 1230b” of a single cable 1230b. Each of the segments 1230b’, 1230b” terminates on the capstan 1270e.
- the present embodiment does not rely on capstan friction to drive shaft insertion.
- the cable 1230b is helixed to the outsides and then terminated to the spool at both the top and bottom.
- An advantage of the double termination approach shown in FIG. 19 is that it is resilient to loss of cable tension. As the double termination approach relies on a positive engagement rather than friction, slip cannot happen.
- FIG. 20 illustrates a front view of a handle including the spool of FIG. 18, according to one embodiment From this view, one can see one possible position of the spool (e.g., the capstan 1270e) within the handle 1220.
- additional spools and pulleys can be provided within the handle 1220 to actuate the end effector 1212.
- a pulley system for end effector actuation as represented in FIG. 12 can be incorporated into the handle m FIG. 20.
- the handle 1220 can incorporate multiple mechanisms for both end effector actuation and/or drive insertion. As shown in FIG.
- the one or more pulleys guiding the cable 1230 onto the capstan I270e are situated across the handle to increase cable distance. If the distance that the cable goes to is large enough compared to the cable walk range of the capstan I270e, the amount of fleet angle on the cable and path length change during insertion is small enough to be negligible. In some embodiments, it is possible to have a traditional helix capstan and keep the length change and fleet angle to a minimum.
- FIG. 21 illustrates a schematic diagram showing an alternative architecture for actuating an end effector and shaft insertion, according to one embodiment.
- the architecture incorporates a first actuation mechanism for actuating an end effector and a second actuation mechanism for shaft insertion.
- the first actuation mechanism and the second actuation mechanism are decoupled, such that actuation of the end effector does not impact shaft insertion, and vice versa.
- the first actuation mechanism comprises one or more cables for actuating an end effector that terminate at an insertion spool (winch is also used as part of the second actuation mechanism for shaft insertion), rather than terminating on the proximal and distal portions of the shaft as in the embodiment in FIG. 12.
- one or more cables that are wound by the insertion spool are substantially counterbalanced by a length of one or more cables (used in a first actuation mechanism to actuate an end effector) that are unwound by the insertion spool.
- a first actuation mechanism used in a first actuation mechanism to actuate an end effector
- the alternative architecture for end effector actuation and shaft insertion comprises a shaft 1302 having a proximal portion 1304 and a distal portion 1306 where an end effector is located.
- One or more spools 1370a, 1370b, 1370c, 1370d, 1370e (which are part of a handle) are positioned about the shaft 1302.
- Spool 1370c comprises an insertion spool.
- Rotati on of the insertion spool 1370c in a first direction causes shaft translation relative to the handle in a first direction (e.g , in a direction of insertion), vvhiie rotation of the insertion spool 1370c m a second direction causes shaft translation relative to the handle in a second direction (e.g., in a direction of retraction).
- One or more cables or cable segments 1330a terminate to an end effector (e.g., a wrist) on one end and an insertion spool on the other.
- One or more additional cables or cable segments 1330b also begin at the insertion spool 1370c before terminating at, near or towards a distal portion 1306 of the shaft 1302.
- a first actuation mechanism wherein manipulation of one or more spools (e.g., spools 1370a, 1370d) via linear or rotary movement causes a change of length of the one or more cables 1330a within the handle.
- the change of length of the one or more cables 1330a within the handle can include a change of the path length of one or more cables or cable segments within the handle.
- the one or more cables 1330a can be considered“end effector” cables. Any change in length of the one or more cables 1330a in the handle that causes actuation of the end effector is counterbalanced by a length of the one or more cables 1330b.
- a second actuation mechanism wherein manipulation of the insertion spool 1370c via linear or rotary movement causes a change of length of the one or more cables 1330b within the handle.
- the one or more cables 1330b can be considered“insertion” cables. Any change m length of the one or more cables 1330b in the handle that causes shaft insertion or retraction is
- FIG. 22 A illustrates a zoomed-in front view of an instrument incorporating the alternative architecture for actuating an end effector and shaft insertion of FIG. 21, according to one embodiment.
- FIG. 22B illustrates a top perspective view of the instrument incorporating the alternative architecture for actuating an end effector and shaft insertion of FIG. 21.
- the instrument 1300 incorporates the first and second actuation mechanism shown in FIG. 21, and includes a handle 1320 comprising one or more mechanical inputs 1324, each corresponding to one or more spools 1370a-e, wherein at least one of the spools (1370c) comprises an insertion spool.
- Each of these cables 1330a’, 1330a”, 1330a’” and 1330a”” can engage with one or more spools akin to the one or more cables 1330a (shown in the schematic in FIG. 21).
- these cables can serve as end effector cables, such that manipulation of their corresponding mechanical inputs 1324 causes a change of length of the cables within the handle.
- the change of length of the one or more cables within the handle can include a change of the path length of one or more cables or cable segments within the handle.
- a path length of the cables within the handle is changed.
- the change of length in the one or more cables 1330a’, 1330a”, 1330a’”, 1330a”” within the handle 1320 that actuate the end effector is counterbalanced by a length of cable 1330b, which is akin to the similarly reference cable 1330b in FIG. 21.
- the length of the cable 1330b in the handle is not changing.
- the cable 1330b can serve as an insertion cable, such that manipulation of its corresponding mechanical input 1324 causes cable 1330b to be wound around the insertion spool 1370c.
- the amount of cable 1330b that is wound around the insertion spool 1370c that causes shaft insertion is counterbalanced by a length of the one or more cables 1330a’, 1330a”, 1330a”’, 1330a”” being unwound.
- FIG. 23 illustrates a top perspective view of a handle and shaft of an instrument, according to one embodiment.
- the shaft 1202 is translatable relative to the handle 1220. From this view, one can see the one or more mechanical inputs 1224, which upon rotation, actuate the end effector. In addition, one can see the one or more mechanical inputs 1324, which upon rotate, allow' for translation of the shaft 1202 relative to the handle 1220 along an axis of insertion.
- the attachment interface 1222 includes the one or more mechanical inputs 1224, 1324 e.g., receptacles, pulleys or spools, that are designed to reciprocally mate with one or more torque couplers 314 on an attachment interface 310 of the IDM 300 (shown in FIG. 3).
- FIG. 24A illustrates a schematic view of a cross-section of an instrument shaft utilizing the insertion architecture shown in FIG. 12, while FIG. 24B illustrates a schematic view of a cross-section of an instrument shaft utilizing the alternative insertion architecture shown in FIG. 21. While not visible, each of the cross-sections in FIGS. 24A and 24B include openings or lumens that extend therethrough. As shown in FIG.
- the insertion architecture of FIG. 12 results in one or more cables 1230 that extend through grooves or channels 1208 that extend along an outer surface of the shaft 1202.
- the insertion architecture of FIG. 21 results m one or more cables 1330b that extend through less grooves or channels 1308 (here a single channel) along an outer surface of the shaft 1202.
- cables are more inclined to extend within the body of the shaft 1302. For example, there are no end effector cables on the outside of the shaft 1302. With less cables extending on the outside of the shaft 1302, the architecture in FIG. 21 can result in an overall smoother shaft surface with less grooves or channels extending on an outer surface.
- the architectures described above can be used to actuate an end effector and accommodate instrument insertion.
- these architectures can be incorporated into specific types of instruments to assist in surgical procedures.
- FIGS. 25-27 show different architectures that can be incorporated into a vessel sealer instrument to drive a knife through a vessel sealer.
- the architectures shown m these figures are like the architecture and related mechanisms shown in FIG. 12, but in other embodiments, the architectures can be like the architecture and related mechanisms shown in FIG. 21.
- FIGS. 25-27 illustrate schematic diagrams showing different architectures for driving a knife in a vessel sealer.
- the architectures create a differential m path length amongst cables, and turns this differential path length change into linear motion of the knife.
- two cables 1430a, 1430b are placed in counter tension
- a single cable 1430 and spring 1490 is used for counter tension.
- linear motion of the knife is achieved by having both differentials on the same input axis, but in opposite directions (e.g., one is unwrapping cable while the other is wrapping cable).
- the dual, opposing cable approach also utilizes a redirect pulley to close the tension loop, and this can be mounted at or near a proximal end or at or near a distal end of a shaft (shown respectively in FIGS. 25 and 26).
- the knife can be coupled to a section of cable to create an in and out motion of the knife.
- FIG. 25 illustrates a schematic diagram showing an architecture for driving a knife 1482 in a vessel sealer 1480.
- the architecture comprises a first cable 1430a and a second cable 1430b, wherein the first cable 1430a and second cable 1430b are in counter tension.
- the architecture further comprises one or more spools or pulley members 1470a, 1470b, 1470c that are engaged by the first cable 1430a, and one or more spools or pulley members l 470d, 1470e, 1470f that are engaged by the second cable 1430b, and a redirect spool or pulley 1470g that closes the tension loop.
- the redirect pulley 1470g is positioned at or near a proximal portion of the shaft.
- the knife 1482 can be coupled to a section of cable (e.g., first cable 1430a) via a connector such as elongate member 1484, thereby creating an in and out motion of the knife 1482 relative to the vessel sealer 1480.
- elongate member 1484 comprises a push rod.
- elongate member 1484 withstands the driving compression forces without buckling.
- FIG. 26 illustrates a schematic diagram showing an alternative architecture for driving a knife in a vessel sealer.
- the architecture is similar to that shown in FIG. 25; however, m the present embodiment, the redirect pulley is positioned at or near a distal portion of the shaft.
- FIG 27 illustrates a schematic diagram showing yet another alternative architecture for driving a knife in a vessel sealer.
- the architecture in the present embodiment utilizes a single cable 1430 that is in counter tension with a spring 1490.
- the architecture further comprises one or more spools or pulley members 1470a, 1470b, 1470c that are engaged by the first cable 1430a. With the cable 1430 in counter tension with the spring 1490, the knife 1482 can be coupled to a section of the cable 1430, thereby creating an in and out motion of the knife 1482 relative to the vessel sealer 1480.
- Another device that can serve as an insertion instrument is a camera.
- the camera can be used for endoscopic surgery.
- the architecture can vary depending on whether the camera is a rigid camera or an articulating camera, for which actuation for articulation will have to be provided.
- FIG. 28 illustrates a schematic diagram showing an architecture for making a rigid camera an insertion instrument.
- the camera 1500 comprises a distal image payload connected by a shaft 1502 to a camera handle 1530 which has interface buttons and a cable coming out of it.
- the cable 1530 is received in a channel or groove formed on the outside of the shaft 1502, while the insertion handle 1520 is positioned around the shaft 1502. This in effect adds a second handle to the endoscope winch enables insertion capability.
- the cable 1530 extends through one or more spools 1570a, 1570b, 1570c.
- spool 1570b can be a capstan.
- the capstan can comprise a zero- walk capstan (as shown in FIG.
- the capstan can allow cable walk (as shown m FIGS. 18 and 19). Via the capstan mechanism, the camera is capable of translation along an axis of insertion.
- the core payload maintains the same sealing architecture as a rigid scope, so it can be expected to be sterilized with the same methods. For a rigid scope, this means it can be autoclaved.
- the additional insertion handle 1520 may also look like an instrument from a sterilization perspective and can be autoclaved as well.
- FIG. 28 show3 ⁇ 4 an architecture for making a rigid camera an insertion instrument
- articulating cameras present additional complexity, as mechanisms would be added to the camera to provide for articulation.
- one or more cables e.g , actuation or wrist cables
- the camera can also be housed in a sealed area, such that if one is to run the one or more cables on the outside, one can also create a sealed compartment for the camera that excludes the one or more cables.
- this architecture it may be possible that some particles and debris get into small spaces within the sealed area.
- one solution may be to add two articulation motors within the sealed camera area rather than reiving on the IDM for articulation motion. This greatly simplifies the cleaning and sealing of the camera components by taking the cables from the outside of the tube and putting them in the sealed inside.
- Another benefit of adding the two articulation motors within the sealed camera is that articulation of the camera can be controlled as soon as the camera is plugged into a vision box. This enables features like keeping the camera straight during installation or removal and being able to articulate the camera from the camera handle to look around during off-robot use. This then makes the articulation camera look a lot like the rigid camera from a sterilization
- FIG. 29 shows a first insertion architecture that allows a camera to be separated from an insertion handle
- FIGS. 30 and 31 show a second insertion architecture that allows a camera to be separated from an insertion handle, thereby allowing for better sterilization.
- FIG 29 shows a first insertion architecture that allows a camera to be separated from an insertion handle.
- the architecture has an autoclavab!e insertion handle 1620 that latches onto an IDM and is separable from the camera core 1600.
- the camera core 1600 comprises a shaft 1602 that extends through the handle 1620.
- the handle 1620 comprises one or more wires 1630a, 1630b that extend through spools 1670a, 1670b, 1670c, 1670d.
- spool 1670b comprises a capstan.
- the spool 1670b comprises a ieadscrew.
- the capstan is a zero-walk capstan (as shown in FIG. 17), while in other embodiments, the capstan allows cable walk.
- the insertion handle 1620 can be removably attached to the camera core 1600 via a connector 1640.
- the connector 1640 comprises a bracket.
- the connector 1640 comprises a vertical plate that the camera latches to. As the insertion handle 1620 is removably attached to the camera core 1600, each is capable of separation for cleaning.
- FIGS. 30 and 31 show a second architecture that allows a camera to be separated from an insertion handle.
- an overtube 1780 is provided that has an insertion cable 1730 attached to it and through which a camera 1700 can be loaded for a procedure.
- FIG. 30 shows the camera 1700 detached and separated from the overtube 1780
- FIG. 31 shows the camera 1700 loaded into the overtube 1780.
- a distal tip 1706 and shaft 1702 of the camera 1700 passes through the overtube 1780.
- the overtube 1780 is connected to a handle 1720 which houses a spool 1770 m the form of a capstan.
- This architecture has the benefit of keeping the camera 1700 separate from an insertion handle 1720 if desired, so that both components can be easily cleaned.
- the camera 1700 is kept low' profile in use, as it is to be fit into the overtube 1780.
- the insertion handle 1720 is removably attached to the camera core 1700, each is capable of separation for cleaning.
- FIG. 32 illustrates a diagram showing an alternative architecture for shaft translation, according to another embodiment.
- the instrument comprises a shaft 1902 having a proximal portion 1904 and a distal portion 1906. Insertion of the shaft 1902 can be driven by a rack gear 1912 and pinion 1914, wherein rotation of the pinion 1914 results in translation of the rack gear 1912 and the shaft 1902 that is coupled to the rack gear 1912
- the rack gear 1912 is positioned on the instrument shaft 1902, while the pinion 1914 is positioned within the housing of the instrument handle.
- a motor driver can be used to translate the shaft 1902 relative to the handle.
- a spur gear can be used, in addition to a cycloid pin rack profile.
- the rack gear 1912 and pinion 1914 can be used on its own to cause insertion or translation of the shaft 1902. In other embodiments, the rack gear 1912 and pinion 1914 can accompany and complement any of the insertion mechanisms described above. The rack gear 1912 and pinion 1914 can be used with any of the types of instruments described above to provide linear insertion of the instrument shaft relative to the handle.
- a system including multiple seals can be provided to prevent air leakage in a patient.
- a novel seal can be provided that works with a cannula seal having a circular outer shape, which is customary with instruments having circular cross-sections.
- the novel seal can pass through the circular cannula seal, thereby providing a consistent rotary seal.
- the novel seal would advantageously discretize any rotary and linear motion to create two boundaries at which a seal is created. The discretization is achieved by- having an intermediate tool seal piece.
- FIG. 33 shows a side cross-sectional view of an instrument having multiple seals to prevent air leakage from a patient.
- FIG. 34 shows a front cross-sectional view of the instrument having the multiple seals.
- the instrument 1200 is inserted into a cannula 50, and is akin to the instrument shown in FIG. 11 having an instrument based insertion architecture.
- the instrument can include a shaft 1202 translatable relative to a handle 1220.
- the shaft 1202 can have one or more channels or grooves 1208 extending along an outer surface thereof, thereby creating passages that could allow air to leak from a patient.
- a multi-seal system advantageously couples to the instrument.
- the multi-seal system comprises a first seal 1810 and a second seal 1820 that can work in conjunction to reduce the risk of air leakage.
- the first seal 1810 and second seal 1820 are coaxial.
- the second seal 1820 can be received in an interior of the first seal 1810.
- the first seal 1810 can have a cross-section having a round outer perimeter and round inner perimeter, while the second seal 1820 can have a cross- section having a round outer perimeter and an inner perimeter with inner protrusions, tabs or nubs 1822, as shown in FIG. 34.
- the advantage of having a second seal 1820 with the inner protrusions is that the inner protrusions can fill in voids, such as grooves 1208, that may extend along an outside of the instrument shaft 1202, thereby reducing the risk of air leakage from a patient during surgery.
- the multi-seal advantageously discretizes rotary and linear motion to create two boundaries at which a seal is created.
- the second seal 1820 with its inner protrusions 1822, can slide down the outer grooves of the instrument shaft 1202, thereby creating a sliding linear seal for instrument shaft motion.
- the second seal 1820 is shown with a plurality of inner protrusions that are rounded and spaced substantially symmetrically around an inner perimeter, the inner portion of the second seal 1820 can assume other shapes as well, so long as the molding process substantially matches the interior of the second seal 1820 to the outer surface of the instrument shaft 1202.
- each of the inner nubs 1822 of the second seal 1820 creates a rotary seal point 1824.
- These rotary seal points allow the instrument 1200 and second seal 1820 to rotationally lock and rotate together upon rotation of the instrument shaft 1202. While the present embodiment shows a multi-seal having dual seals, in other embodiments, three, four, or more seals can work together to reduce the risk of air leakage from a patient during surgery.
- any reference to“one embodiment” or“an embodiment” means that a particular element, feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment.
- the appearances of the phrase“in one embodiment” in various places in the specification are not necessarily all referring to the same embodiment.
- Coupled along with their derivatives.
- some embodiments may be described usmg the term“coupled” to indicate that two or more elements are in direct physical or electrical contact.
- the term“coupled,” however, may also mean that two or more elements are not in direct contact with each other, but yet still co-operate or interact with each other.
- the embodiments are not limited in this context unless otherwise explicitly stated.
- the terms“comprises,”“comprising,”“includes,”“including,” “has,”“having” or any other variation thereof are intended to cover a non-exclusive inclusion.
- a process, method, article, or apparatus that comprises a list of elements is not necessarily limited to only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
- “or” refers to an inclusive or and not to an exclusive or. For example, a condition A or B is satisfied by any one of the following: A is true (or present) and B is false (or not present), A is false (or not present) and B is true (or present), and both A and B are true (or present).
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- Heart & Thoracic Surgery (AREA)
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Abstract
Description
Claims
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PCT/US2018/064789 WO2019118368A1 (en) | 2017-12-11 | 2018-12-10 | Systems and methods for instrument based insertion architectures |
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Families Citing this family (204)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8414505B1 (en) | 2001-02-15 | 2013-04-09 | Hansen Medical, Inc. | Catheter driver system |
EP2384715B1 (en) | 2004-03-05 | 2015-07-08 | Hansen Medical, Inc. | Robotic catheter system |
US8814921B2 (en) | 2008-03-06 | 2014-08-26 | Aquabeam Llc | Tissue ablation and cautery with optical energy carried in fluid stream |
US9232959B2 (en) | 2007-01-02 | 2016-01-12 | Aquabeam, Llc | Multi fluid tissue resection methods and devices |
US9254123B2 (en) | 2009-04-29 | 2016-02-09 | Hansen Medical, Inc. | Flexible and steerable elongate instruments with shape control and support elements |
US8672837B2 (en) | 2010-06-24 | 2014-03-18 | Hansen Medical, Inc. | Methods and devices for controlling a shapeable medical device |
US9314306B2 (en) | 2010-09-17 | 2016-04-19 | Hansen Medical, Inc. | Systems and methods for manipulating an elongate member |
US9138166B2 (en) | 2011-07-29 | 2015-09-22 | Hansen Medical, Inc. | Apparatus and methods for fiber integration and registration |
JP6080872B2 (en) | 2012-02-29 | 2017-02-15 | プロセプト バイオロボティクス コーポレイション | Automated image guided tissue ablation and treatment |
US20130317519A1 (en) | 2012-05-25 | 2013-11-28 | Hansen Medical, Inc. | Low friction instrument driver interface for robotic systems |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US20140148673A1 (en) | 2012-11-28 | 2014-05-29 | Hansen Medical, Inc. | Method of anchoring pullwire directly articulatable region in catheter |
US10231867B2 (en) | 2013-01-18 | 2019-03-19 | Auris Health, Inc. | Method, apparatus and system for a water jet |
US10149720B2 (en) | 2013-03-08 | 2018-12-11 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
US9057600B2 (en) | 2013-03-13 | 2015-06-16 | Hansen Medical, Inc. | Reducing incremental measurement sensor error |
US9566414B2 (en) | 2013-03-13 | 2017-02-14 | Hansen Medical, Inc. | Integrated catheter and guide wire controller |
US20140277334A1 (en) | 2013-03-14 | 2014-09-18 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US9173713B2 (en) | 2013-03-14 | 2015-11-03 | Hansen Medical, Inc. | Torque-based catheter articulation |
US11213363B2 (en) | 2013-03-14 | 2022-01-04 | Auris Health, Inc. | Catheter tension sensing |
US9326822B2 (en) | 2013-03-14 | 2016-05-03 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US10849702B2 (en) | 2013-03-15 | 2020-12-01 | Auris Health, Inc. | User input devices for controlling manipulation of guidewires and catheters |
US9014851B2 (en) | 2013-03-15 | 2015-04-21 | Hansen Medical, Inc. | Systems and methods for tracking robotically controlled medical instruments |
US20140276647A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Vascular remote catheter manipulator |
US9283046B2 (en) | 2013-03-15 | 2016-03-15 | Hansen Medical, Inc. | User interface for active drive apparatus with finite range of motion |
US9408669B2 (en) | 2013-03-15 | 2016-08-09 | Hansen Medical, Inc. | Active drive mechanism with finite range of motion |
US20140276936A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Active drive mechanism for simultaneous rotation and translation |
US9452018B2 (en) | 2013-03-15 | 2016-09-27 | Hansen Medical, Inc. | Rotational support for an elongate member |
US9629595B2 (en) | 2013-03-15 | 2017-04-25 | Hansen Medical, Inc. | Systems and methods for localizing, tracking and/or controlling medical instruments |
US9271663B2 (en) | 2013-03-15 | 2016-03-01 | Hansen Medical, Inc. | Flexible instrument localization from both remote and elongation sensors |
US10376672B2 (en) | 2013-03-15 | 2019-08-13 | Auris Health, Inc. | Catheter insertion system and method of fabrication |
US11020016B2 (en) | 2013-05-30 | 2021-06-01 | Auris Health, Inc. | System and method for displaying anatomy and devices on a movable display |
US10744035B2 (en) | 2013-06-11 | 2020-08-18 | Auris Health, Inc. | Methods for robotic assisted cataract surgery |
US10426661B2 (en) | 2013-08-13 | 2019-10-01 | Auris Health, Inc. | Method and apparatus for laser assisted cataract surgery |
KR102384055B1 (en) | 2013-08-15 | 2022-04-07 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Preloaded surgical instrument interface |
KR102312595B1 (en) | 2013-08-15 | 2021-10-15 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Instrument sterile adapter drive features |
CN105611892B (en) * | 2013-08-15 | 2019-02-19 | 直观外科手术操作公司 | Robotic tool driven element |
CN113274137A (en) | 2013-08-15 | 2021-08-20 | 直观外科手术操作公司 | Instrument sterile adapter drive interface |
EP3243476B1 (en) | 2014-03-24 | 2019-11-06 | Auris Health, Inc. | Systems and devices for catheter driving instinctiveness |
US10046140B2 (en) | 2014-04-21 | 2018-08-14 | Hansen Medical, Inc. | Devices, systems, and methods for controlling active drive systems |
US10569052B2 (en) | 2014-05-15 | 2020-02-25 | Auris Health, Inc. | Anti-buckling mechanisms for catheters |
US9561083B2 (en) | 2014-07-01 | 2017-02-07 | Auris Surgical Robotics, Inc. | Articulating flexible endoscopic tool with roll capabilities |
US10792464B2 (en) | 2014-07-01 | 2020-10-06 | Auris Health, Inc. | Tool and method for using surgical endoscope with spiral lumens |
US9744335B2 (en) | 2014-07-01 | 2017-08-29 | Auris Surgical Robotics, Inc. | Apparatuses and methods for monitoring tendons of steerable catheters |
JP6689832B2 (en) | 2014-09-30 | 2020-04-28 | オーリス ヘルス インコーポレイテッド | Configurable robotic surgery system with provisional trajectory and flexible endoscope |
US10499999B2 (en) | 2014-10-09 | 2019-12-10 | Auris Health, Inc. | Systems and methods for aligning an elongate member with an access site |
US10314463B2 (en) | 2014-10-24 | 2019-06-11 | Auris Health, Inc. | Automated endoscope calibration |
US11819636B2 (en) | 2015-03-30 | 2023-11-21 | Auris Health, Inc. | Endoscope pull wire electrical circuit |
US20160287279A1 (en) | 2015-04-01 | 2016-10-06 | Auris Surgical Robotics, Inc. | Microsurgical tool for robotic applications |
WO2016164824A1 (en) | 2015-04-09 | 2016-10-13 | Auris Surgical Robotics, Inc. | Surgical system with configurable rail-mounted mechanical arms |
WO2016187054A1 (en) | 2015-05-15 | 2016-11-24 | Auris Surgical Robotics, Inc. | Surgical robotics system |
EP3302335A4 (en) * | 2015-06-03 | 2019-02-20 | Covidien LP | Offset instrument drive unit |
JP6938507B2 (en) | 2015-09-09 | 2021-09-22 | オーリス ヘルス インコーポレイテッド | Instrument device manipulator for surgical support robot system |
CN108778113B (en) | 2015-09-18 | 2022-04-15 | 奥瑞斯健康公司 | Navigation of tubular networks |
US10575754B2 (en) | 2015-09-23 | 2020-03-03 | Covidien Lp | Catheter having a sensor and an extended working channel |
US10639108B2 (en) | 2015-10-30 | 2020-05-05 | Auris Health, Inc. | Process for percutaneous operations |
US9949749B2 (en) | 2015-10-30 | 2018-04-24 | Auris Surgical Robotics, Inc. | Object capture with a basket |
US9955986B2 (en) | 2015-10-30 | 2018-05-01 | Auris Surgical Robotics, Inc. | Basket apparatus |
US10143526B2 (en) | 2015-11-30 | 2018-12-04 | Auris Health, Inc. | Robot-assisted driving systems and methods |
US10932861B2 (en) | 2016-01-14 | 2021-03-02 | Auris Health, Inc. | Electromagnetic tracking surgical system and method of controlling the same |
US10932691B2 (en) | 2016-01-26 | 2021-03-02 | Auris Health, Inc. | Surgical tools having electromagnetic tracking components |
WO2017156070A1 (en) | 2016-03-09 | 2017-09-14 | Intuitive Surgical Operations, Inc. | Force transmission mechanism for surgical instrument, and related devices, systems, and methods |
US11324554B2 (en) | 2016-04-08 | 2022-05-10 | Auris Health, Inc. | Floating electromagnetic field generator system and method of controlling the same |
US10454347B2 (en) | 2016-04-29 | 2019-10-22 | Auris Health, Inc. | Compact height torque sensing articulation axis assembly |
WO2018013313A1 (en) | 2016-07-14 | 2018-01-18 | Intuitive Surgical Operations, Inc. | Multi-cable medical instrument |
US11007024B2 (en) | 2016-07-14 | 2021-05-18 | Intuitive Surgical Operations, Inc. | Geared grip actuation for medical instruments |
US11037464B2 (en) | 2016-07-21 | 2021-06-15 | Auris Health, Inc. | System with emulator movement tracking for controlling medical devices |
US10463439B2 (en) | 2016-08-26 | 2019-11-05 | Auris Health, Inc. | Steerable catheter with shaft load distributions |
US11241559B2 (en) | 2016-08-29 | 2022-02-08 | Auris Health, Inc. | Active drive for guidewire manipulation |
WO2018044306A1 (en) | 2016-08-31 | 2018-03-08 | Auris Surgical Robotics, Inc. | Length conservative surgical instrument |
EP3328308B1 (en) * | 2016-09-27 | 2019-05-29 | Brainlab AG | Efficient positioning of a mechatronic arm |
US9931025B1 (en) | 2016-09-30 | 2018-04-03 | Auris Surgical Robotics, Inc. | Automated calibration of endoscopes with pull wires |
CN110198681B (en) | 2016-11-21 | 2022-09-13 | 直观外科手术操作公司 | Medical instrument with constant cable length |
US10543048B2 (en) | 2016-12-28 | 2020-01-28 | Auris Health, Inc. | Flexible instrument insertion using an adaptive insertion force threshold |
US10136959B2 (en) | 2016-12-28 | 2018-11-27 | Auris Health, Inc. | Endolumenal object sizing |
US10244926B2 (en) | 2016-12-28 | 2019-04-02 | Auris Health, Inc. | Detecting endolumenal buckling of flexible instruments |
US11529190B2 (en) | 2017-01-30 | 2022-12-20 | Covidien Lp | Enhanced ablation and visualization techniques for percutaneous surgical procedures |
US10357321B2 (en) | 2017-02-24 | 2019-07-23 | Intuitive Surgical Operations, Inc. | Splayed cable guide for a medical instrument |
US11076926B2 (en) | 2017-03-21 | 2021-08-03 | Intuitive Surgical Operations, Inc. | Manual release for medical device drive system |
JP7159192B2 (en) | 2017-03-28 | 2022-10-24 | オーリス ヘルス インコーポレイテッド | shaft actuation handle |
CN108990412B (en) | 2017-03-31 | 2022-03-22 | 奥瑞斯健康公司 | Robot system for cavity network navigation compensating physiological noise |
KR102550962B1 (en) | 2017-04-07 | 2023-07-06 | 아우리스 헬스, 인코포레이티드 | Align the patient introducer |
US10285574B2 (en) | 2017-04-07 | 2019-05-14 | Auris Health, Inc. | Superelastic medical instrument |
CN110831498B (en) | 2017-05-12 | 2022-08-12 | 奥瑞斯健康公司 | Biopsy device and system |
AU2018270785B2 (en) | 2017-05-17 | 2023-11-23 | Auris Health, Inc. | Exchangeable working channel |
US10022192B1 (en) | 2017-06-23 | 2018-07-17 | Auris Health, Inc. | Automatically-initialized robotic systems for navigation of luminal networks |
US11026758B2 (en) | 2017-06-28 | 2021-06-08 | Auris Health, Inc. | Medical robotics systems implementing axis constraints during actuation of one or more motorized joints |
CN110913788B (en) | 2017-06-28 | 2024-03-12 | 奥瑞斯健康公司 | Electromagnetic distortion detection |
CN110809452B (en) | 2017-06-28 | 2023-05-23 | 奥瑞斯健康公司 | Electromagnetic field generator alignment |
US10299870B2 (en) | 2017-06-28 | 2019-05-28 | Auris Health, Inc. | Instrument insertion compensation |
US10426559B2 (en) | 2017-06-30 | 2019-10-01 | Auris Health, Inc. | Systems and methods for medical instrument compression compensation |
US10464209B2 (en) | 2017-10-05 | 2019-11-05 | Auris Health, Inc. | Robotic system with indication of boundary for robotic arm |
US10016900B1 (en) | 2017-10-10 | 2018-07-10 | Auris Health, Inc. | Surgical robotic arm admittance control |
US10145747B1 (en) | 2017-10-10 | 2018-12-04 | Auris Health, Inc. | Detection of undesirable forces on a surgical robotic arm |
US10555778B2 (en) | 2017-10-13 | 2020-02-11 | Auris Health, Inc. | Image-based branch detection and mapping for navigation |
US11058493B2 (en) | 2017-10-13 | 2021-07-13 | Auris Health, Inc. | Robotic system configured for navigation path tracing |
EP3684282B1 (en) | 2017-12-06 | 2024-02-21 | Auris Health, Inc. | Systems to correct for uncommanded instrument roll |
JP7208237B2 (en) | 2017-12-08 | 2023-01-18 | オーリス ヘルス インコーポレイテッド | Systems and medical devices for performing medical procedures |
CN110831534B (en) | 2017-12-08 | 2023-04-28 | 奥瑞斯健康公司 | System and method for medical instrument navigation and targeting |
CN111770736A (en) | 2017-12-11 | 2020-10-13 | 奥瑞斯健康公司 | System and method for instrument-based insertion architecture |
CN110869173B (en) | 2017-12-14 | 2023-11-17 | 奥瑞斯健康公司 | System and method for estimating instrument positioning |
EP3684283A4 (en) | 2017-12-18 | 2021-07-14 | Auris Health, Inc. | Methods and systems for instrument tracking and navigation within luminal networks |
USD924410S1 (en) | 2018-01-17 | 2021-07-06 | Auris Health, Inc. | Instrument tower |
US10888386B2 (en) * | 2018-01-17 | 2021-01-12 | Auris Health, Inc. | Surgical robotics systems with improved robotic arms |
USD932628S1 (en) | 2018-01-17 | 2021-10-05 | Auris Health, Inc. | Instrument cart |
USD901018S1 (en) | 2018-01-17 | 2020-11-03 | Auris Health, Inc. | Controller |
US10517692B2 (en) | 2018-01-17 | 2019-12-31 | Auris Health, Inc. | Surgical platform with adjustable arm supports |
USD873878S1 (en) | 2018-01-17 | 2020-01-28 | Auris Health, Inc. | Robotic arm |
USD901694S1 (en) | 2018-01-17 | 2020-11-10 | Auris Health, Inc. | Instrument handle |
US11497567B2 (en) | 2018-02-08 | 2022-11-15 | Intuitive Surgical Operations, Inc. | Jointed control platform |
US11118661B2 (en) | 2018-02-12 | 2021-09-14 | Intuitive Surgical Operations, Inc. | Instrument transmission converting roll to linear actuation |
KR20240118200A (en) | 2018-02-13 | 2024-08-02 | 아우리스 헬스, 인코포레이티드 | System and method for driving medical instrument |
JP7225259B2 (en) | 2018-03-28 | 2023-02-20 | オーリス ヘルス インコーポレイテッド | Systems and methods for indicating probable location of instruments |
US10524866B2 (en) | 2018-03-28 | 2020-01-07 | Auris Health, Inc. | Systems and methods for registration of location sensors |
US11109920B2 (en) | 2018-03-28 | 2021-09-07 | Auris Health, Inc. | Medical instruments with variable bending stiffness profiles |
US10872449B2 (en) | 2018-05-02 | 2020-12-22 | Covidien Lp | System and method for constructing virtual radial ultrasound images from CT data and performing a surgical navigation procedure using virtual ultrasound images |
EP3793465A4 (en) | 2018-05-18 | 2022-03-02 | Auris Health, Inc. | Controllers for robotically-enabled teleoperated systems |
MX2020012902A (en) | 2018-05-30 | 2021-02-26 | Auris Health Inc | Systems and methods for location sensor-based branch prediction. |
CN112236083B (en) | 2018-05-31 | 2024-08-13 | 奥瑞斯健康公司 | Robotic system and method for navigating a lumen network that detects physiological noise |
MX2020012904A (en) | 2018-05-31 | 2021-02-26 | Auris Health Inc | Image-based airway analysis and mapping. |
MX2020012898A (en) | 2018-05-31 | 2021-02-26 | Auris Health Inc | Path-based navigation of tubular networks. |
EP3830447A1 (en) * | 2018-06-01 | 2021-06-09 | Steerable Instruments NV | Tool with torque-actuated end effector |
CN112218596A (en) | 2018-06-07 | 2021-01-12 | 奥瑞斯健康公司 | Robotic medical system with high-force instruments |
US10820954B2 (en) | 2018-06-27 | 2020-11-03 | Auris Health, Inc. | Alignment and attachment systems for medical instruments |
WO2020005370A1 (en) | 2018-06-27 | 2020-01-02 | Auris Health, Inc. | Systems and techniques for providing multiple perspectives during medical procedures |
US11399905B2 (en) | 2018-06-28 | 2022-08-02 | Auris Health, Inc. | Medical systems incorporating pulley sharing |
US11071591B2 (en) | 2018-07-26 | 2021-07-27 | Covidien Lp | Modeling a collapsed lung using CT data |
TWI695765B (en) * | 2018-07-31 | 2020-06-11 | 國立臺灣大學 | Robotic arm |
US10898276B2 (en) | 2018-08-07 | 2021-01-26 | Auris Health, Inc. | Combining strain-based shape sensing with catheter control |
EP3806772A4 (en) | 2018-08-15 | 2022-03-30 | Auris Health, Inc. | Medical instruments for tissue cauterization |
WO2020036686A1 (en) | 2018-08-17 | 2020-02-20 | Auris Health, Inc. | Bipolar medical instrument |
US10881280B2 (en) | 2018-08-24 | 2021-01-05 | Auris Health, Inc. | Manually and robotically controllable medical instruments |
JP6745306B2 (en) * | 2018-08-28 | 2020-08-26 | 株式会社メディカロイド | Adapter and connection method |
US11197728B2 (en) | 2018-09-17 | 2021-12-14 | Auris Health, Inc. | Systems and methods for concomitant medical procedures |
WO2020068303A1 (en) | 2018-09-26 | 2020-04-02 | Auris Health, Inc. | Systems and instruments for suction and irrigation |
WO2020068853A2 (en) | 2018-09-26 | 2020-04-02 | Auris Health, Inc. | Articulating medical instruments |
KR20210073542A (en) | 2018-09-28 | 2021-06-18 | 아우리스 헬스, 인코포레이티드 | Systems and methods for docking medical instruments |
EP3856001A4 (en) | 2018-09-28 | 2022-06-22 | Auris Health, Inc. | Devices, systems, and methods for manually and robotically driving medical instruments |
US11576738B2 (en) | 2018-10-08 | 2023-02-14 | Auris Health, Inc. | Systems and instruments for tissue sealing |
WO2020102780A1 (en) | 2018-11-15 | 2020-05-22 | Intuitive Surgical Operations, Inc. | Cable drive limited slip capstan and shaft |
WO2020131186A1 (en) | 2018-12-20 | 2020-06-25 | Auris Health, Inc. | Systems and methods for robotic arm alignment and docking |
US11950863B2 (en) | 2018-12-20 | 2024-04-09 | Auris Health, Inc | Shielding for wristed instruments |
CN113286543A (en) | 2018-12-28 | 2021-08-20 | 奥瑞斯健康公司 | Medical instrument with articulatable segments |
JP7480152B2 (en) | 2018-12-28 | 2024-05-09 | オーリス ヘルス インコーポレイテッド | Percutaneous sheath for robotic medical systems and methods |
EP3883492A4 (en) | 2019-01-25 | 2022-11-30 | Auris Health, Inc. | Vessel sealer with heating and cooling capabilities |
US11857277B2 (en) | 2019-02-08 | 2024-01-02 | Auris Health, Inc. | Robotically controlled clot manipulation and removal |
US11202683B2 (en) | 2019-02-22 | 2021-12-21 | Auris Health, Inc. | Surgical platform with motorized arms for adjustable arm supports |
KR20210137508A (en) | 2019-03-08 | 2021-11-17 | 아우리스 헬스, 인코포레이티드 | Tilt Mechanisms for Medical Systems and Applications |
US11213361B2 (en) | 2019-03-15 | 2022-01-04 | Cilag Gmbh International | Robotic surgical systems with mechanisms for scaling surgical tool motion according to tissue proximity |
US11992282B2 (en) | 2019-03-15 | 2024-05-28 | Cilag Gmbh International | Motion capture controls for robotic surgery |
US11666401B2 (en) | 2019-03-15 | 2023-06-06 | Cilag Gmbh International | Input controls for robotic surgery |
EP3908224A4 (en) | 2019-03-22 | 2022-10-19 | Auris Health, Inc. | Systems and methods for aligning inputs on medical instruments |
WO2020197625A1 (en) | 2019-03-25 | 2020-10-01 | Auris Health, Inc. | Systems and methods for medical stapling |
US11617627B2 (en) | 2019-03-29 | 2023-04-04 | Auris Health, Inc. | Systems and methods for optical strain sensing in medical instruments |
JP2022527834A (en) | 2019-04-08 | 2022-06-06 | オーリス ヘルス インコーポレイテッド | Systems, methods, and workflows for accompanying procedures |
US11975157B2 (en) | 2019-04-12 | 2024-05-07 | Covidien Lp | Method of manufacturing an elongated catheter having multiple sensors for three-dimensional location of the catheter |
EP3989841A4 (en) | 2019-06-26 | 2023-09-20 | Auris Health, Inc. | Systems and methods for robotic arm alignment and docking |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11369386B2 (en) | 2019-06-27 | 2022-06-28 | Auris Health, Inc. | Systems and methods for a medical clip applier |
EP3989793A4 (en) | 2019-06-28 | 2023-07-19 | Auris Health, Inc. | Console overlay and methods of using same |
CN114040727A (en) | 2019-06-28 | 2022-02-11 | 奥瑞斯健康公司 | Medical instrument including a wrist with hybrid redirecting surfaces |
CN114554930A (en) | 2019-08-15 | 2022-05-27 | 奥瑞斯健康公司 | Medical device with multiple curved segments |
USD975275S1 (en) | 2019-08-15 | 2023-01-10 | Auris Health, Inc. | Handle for a medical instrument |
USD978348S1 (en) | 2019-08-15 | 2023-02-14 | Auris Health, Inc. | Drive device for a medical instrument |
US11896330B2 (en) | 2019-08-15 | 2024-02-13 | Auris Health, Inc. | Robotic medical system having multiple medical instruments |
CN114340542B (en) | 2019-08-30 | 2023-07-21 | 奥瑞斯健康公司 | Systems and methods for weight-based registration of position sensors |
JP7451686B2 (en) | 2019-08-30 | 2024-03-18 | オーリス ヘルス インコーポレイテッド | Instrument image reliability system and method |
EP3808282A3 (en) | 2019-09-01 | 2021-06-30 | Bb Surgical Devices, S.L. | Universal surgical access system |
WO2021044297A1 (en) | 2019-09-03 | 2021-03-11 | Auris Health, Inc. | Electromagnetic distortion detection and compensation |
WO2021048707A1 (en) | 2019-09-10 | 2021-03-18 | Auris Health, Inc. | Systems and methods for kinematic optimization with shared robotic degrees-of-freedom |
EP4034349A1 (en) | 2019-09-26 | 2022-08-03 | Auris Health, Inc. | Systems and methods for collision detection and avoidance |
US20210093399A1 (en) | 2019-09-27 | 2021-04-01 | Auris Health, Inc. | Robotically-actuated medical retractors |
US11737845B2 (en) | 2019-09-30 | 2023-08-29 | Auris Inc. | Medical instrument with a capstan |
US11737835B2 (en) | 2019-10-29 | 2023-08-29 | Auris Health, Inc. | Braid-reinforced insulation sheath |
US11660147B2 (en) | 2019-12-31 | 2023-05-30 | Auris Health, Inc. | Alignment techniques for percutaneous access |
US11602372B2 (en) | 2019-12-31 | 2023-03-14 | Auris Health, Inc. | Alignment interfaces for percutaneous access |
EP4084717A4 (en) | 2019-12-31 | 2024-02-14 | Auris Health, Inc. | Dynamic pulley system |
US11298195B2 (en) | 2019-12-31 | 2022-04-12 | Auris Health, Inc. | Anatomical feature identification and targeting |
CN114901200A (en) | 2019-12-31 | 2022-08-12 | 奥瑞斯健康公司 | Advanced basket drive mode |
CN111134850B (en) * | 2020-02-09 | 2023-11-24 | 深圳市精锋医疗科技股份有限公司 | Drive box, operation arm and surgical robot |
US12064191B2 (en) | 2020-06-03 | 2024-08-20 | Covidien Lp | Surgical tool navigation using sensor fusion |
US11701492B2 (en) | 2020-06-04 | 2023-07-18 | Covidien Lp | Active distal tip drive |
US11744661B2 (en) * | 2020-06-18 | 2023-09-05 | Cilag Gmbh International | Robotic surgical tools with torsion cable actuation |
EP4167892A1 (en) | 2020-06-19 | 2023-04-26 | Remedy Robotics, Inc. | Systems and methods for guidance of intraluminal devices within the vasculature |
CN115802975A (en) | 2020-06-29 | 2023-03-14 | 奥瑞斯健康公司 | System and method for detecting contact between a connecting rod and an external object |
US11357586B2 (en) | 2020-06-30 | 2022-06-14 | Auris Health, Inc. | Systems and methods for saturated robotic movement |
EP4171392A4 (en) * | 2020-06-30 | 2024-07-24 | Prec Robotics Hong Kong Limited | Flexible endoscope with detachable head and handle |
EP4171428A1 (en) | 2020-06-30 | 2023-05-03 | Auris Health, Inc. | Robotic medical system with collision proximity indicators |
US11944341B2 (en) * | 2020-10-22 | 2024-04-02 | Cilag Gmbh International | Ultrasonic surgical instrument with a mid-shaft closure system and related methods |
CN112490051A (en) * | 2020-11-19 | 2021-03-12 | 深圳市致尚科技股份有限公司 | Multidirectional input device and game machine |
US11813746B2 (en) | 2020-12-30 | 2023-11-14 | Cilag Gmbh International | Dual driving pinion crosscheck |
US12059170B2 (en) * | 2020-12-30 | 2024-08-13 | Cilag Gmbh International | Surgical tool with tool-based translation and lock for the same |
US20220202514A1 (en) | 2020-12-30 | 2022-06-30 | Ethicon Llc | Torque-based transition between operating gears |
US12070287B2 (en) | 2020-12-30 | 2024-08-27 | Cilag Gmbh International | Robotic surgical tools having dual articulation drives |
US20220226056A1 (en) * | 2021-01-20 | 2022-07-21 | Ethicon Llc | Drive cable accumulation systems for robotic surgical tools |
US11723737B2 (en) * | 2021-01-20 | 2023-08-15 | Cilag Gmbh International | Surgical tools with proximally mounted, cable based actuation systems |
CN116867725A (en) * | 2021-03-08 | 2023-10-10 | 直观外科手术操作公司 | Apparatus, system and method for controlling cable drive mechanism |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US20230001579A1 (en) | 2021-06-30 | 2023-01-05 | Cilag Gmbh International | Grasping work determination and indications thereof |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11707332B2 (en) | 2021-07-01 | 2023-07-25 | Remedy Robotics, Inc. | Image space control for endovascular tools |
US11690683B2 (en) | 2021-07-01 | 2023-07-04 | Remedy Robotics, Inc | Vision-based position and orientation determination for endovascular tools |
Family Cites Families (380)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2556601A (en) | 1947-02-10 | 1951-06-12 | Niles Bement Pond Co | Multiple tapping head |
US2566183A (en) | 1947-05-29 | 1951-08-28 | Skilsaw Inc | Portable power-driven tool |
US2623175A (en) | 1949-03-25 | 1952-12-23 | Radiart Corp | Reel antenna |
US2730699A (en) | 1952-02-01 | 1956-01-10 | Gen Dynamics Corp | Telemetering system |
US2884808A (en) | 1957-10-23 | 1959-05-05 | Mueller Co | Drive for drilling machine |
US3294183A (en) | 1964-09-30 | 1966-12-27 | Black & Decker Mfg Co | Power driven tools |
US3472083A (en) | 1967-10-25 | 1969-10-14 | Lawrence S Schnepel | Torque wrench |
US3513724A (en) | 1968-07-17 | 1970-05-26 | Monogram Ind Inc | Speed reduction mechanism |
US3595074A (en) | 1968-10-30 | 1971-07-27 | Clarence Johnson | Torque transducer |
JPS5025234B1 (en) | 1970-02-20 | 1975-08-21 | ||
JPS4921672Y1 (en) | 1970-08-21 | 1974-06-10 | ||
GB1372327A (en) | 1971-10-11 | 1974-10-30 | Commissariat Energie Atomique | Articulated manipulator |
US3734207A (en) | 1971-12-27 | 1973-05-22 | M Fishbein | Battery powered orthopedic cutting tool |
US3926386A (en) | 1974-07-09 | 1975-12-16 | Us Air Force | Spool for wire deployment |
US3921536A (en) | 1975-01-30 | 1975-11-25 | Hall Ski Lift Company Inc | Cable grip tester |
DE2524605A1 (en) | 1975-06-03 | 1976-12-23 | Heinz Peter Dipl Brandstetter | DEVICE FOR MEASURING MECHANICAL WORK AND POWER |
SE414272B (en) | 1978-10-17 | 1980-07-21 | Viggo Ab | CANNEL OR CATETER DEVICE |
US4241884A (en) | 1979-03-20 | 1980-12-30 | George Lynch | Powered device for controlling the rotation of a reel |
AT365363B (en) | 1979-09-20 | 1982-01-11 | Philips Nv | RECORDING AND / OR PLAYING DEVICE |
CH643092A5 (en) | 1980-02-18 | 1984-05-15 | Gruenbaum Heinrich Leuzinger | DEVICE FOR MEASURING TORQUE EXTENDED BY AN ELECTRIC MOTOR. |
US4357843A (en) | 1980-10-31 | 1982-11-09 | Peck-O-Matic, Inc. | Tong apparatus for threadedly connecting and disconnecting elongated members |
JPS57144633A (en) | 1981-03-05 | 1982-09-07 | Inoue Japax Res Inc | Wire electrode feeder |
US4507026A (en) | 1982-09-29 | 1985-03-26 | Boeing Aerospace Company | Depth control assembly |
US4555960A (en) | 1983-03-23 | 1985-12-03 | Cae Electronics, Ltd. | Six degree of freedom hand controller |
US4688555A (en) | 1986-04-25 | 1987-08-25 | Circon Corporation | Endoscope with cable compensating mechanism |
US4784150A (en) | 1986-11-04 | 1988-11-15 | Research Corporation | Surgical retractor and blood flow monitor |
US4745908A (en) | 1987-05-08 | 1988-05-24 | Circon Corporation | Inspection instrument fexible shaft having deflection compensation means |
US4907168A (en) | 1988-01-11 | 1990-03-06 | Adolph Coors Company | Torque monitoring apparatus |
US4857058A (en) | 1988-07-11 | 1989-08-15 | Payton Hugh W | Support patch for intravenous catheter |
US4945790A (en) | 1989-08-07 | 1990-08-07 | Arthur Golden | Multi-purpose hand tool |
US5350101A (en) | 1990-11-20 | 1994-09-27 | Interventional Technologies Inc. | Device for advancing a rotatable tube |
US5234428A (en) | 1991-06-11 | 1993-08-10 | Kaufman David I | Disposable electrocautery/cutting instrument with integral continuous smoke evacuation |
JPH05146975A (en) | 1991-11-26 | 1993-06-15 | Bridgestone Corp | Multi-shaft automatic nut runner |
US5256150A (en) | 1991-12-13 | 1993-10-26 | Endovascular Technologies, Inc. | Large-diameter expandable sheath and method |
US5207128A (en) | 1992-03-23 | 1993-05-04 | Weatherford-Petco, Inc. | Tong with floating jaws |
WO1993020876A1 (en) | 1992-04-14 | 1993-10-28 | Du-Med B.V. | Electronic catheter displacement sensor |
GB2280343A (en) | 1993-07-08 | 1995-01-25 | Innovative Care Ltd | A laser targeting device for use with image intensifiers |
US5524180A (en) | 1992-08-10 | 1996-06-04 | Computer Motion, Inc. | Automated endoscope system for optimal positioning |
US5368564A (en) | 1992-12-23 | 1994-11-29 | Angeion Corporation | Steerable catheter |
US5779623A (en) | 1993-10-08 | 1998-07-14 | Leonard Medical, Inc. | Positioner for medical instruments |
JP3476878B2 (en) | 1993-11-15 | 2003-12-10 | オリンパス株式会社 | Surgical manipulator |
US6154000A (en) | 1994-09-07 | 2000-11-28 | Omnitek Research & Development, Inc. | Apparatus for providing a controlled deflection and/or actuator apparatus |
US5559294A (en) | 1994-09-15 | 1996-09-24 | Condux International, Inc. | Torque measuring device |
DE19625850B4 (en) | 1995-06-27 | 2008-01-31 | Matsushita Electric Works, Ltd., Kadoma | planetary gear |
US5855583A (en) | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US6436107B1 (en) | 1996-02-20 | 2002-08-20 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
US5842390A (en) | 1996-02-28 | 1998-12-01 | Frank's Casing Crew And Rental Tools Inc. | Dual string backup tong |
US5807377A (en) * | 1996-05-20 | 1998-09-15 | Intuitive Surgical, Inc. | Force-reflecting surgical instrument and positioning mechanism for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5797900A (en) | 1996-05-20 | 1998-08-25 | Intuitive Surgical, Inc. | Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5767840A (en) | 1996-06-28 | 1998-06-16 | International Business Machines Corporation | Six-degrees-of-freedom movement sensor having strain gauge mechanical supports |
DE19649082C1 (en) | 1996-11-27 | 1998-01-08 | Fraunhofer Ges Forschung | Remote control unit for implement with holder and two hexapods |
US6331181B1 (en) | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
SI0901341T1 (en) | 1997-01-03 | 2005-04-30 | Biosense Webster, Inc. | Bend-responsive catheter |
DE19717108A1 (en) | 1997-04-23 | 1998-11-05 | Stm Medtech Starnberg | Inverted hose system |
TW403051U (en) | 1997-05-29 | 2000-08-21 | Seiko Epson Corp | Recording medium of control program for printing device and recorded printing device |
US6231565B1 (en) | 1997-06-18 | 2001-05-15 | United States Surgical Corporation | Robotic arm DLUs for performing surgical tasks |
EP2362284B1 (en) | 1997-09-19 | 2015-05-20 | Massachusetts Institute Of Technology | Robotic apparatus |
US5921968A (en) | 1997-11-25 | 1999-07-13 | Merit Medical Systems, Inc. | Valve apparatus with adjustable quick-release mechanism |
GB2334270A (en) | 1998-02-14 | 1999-08-18 | Weatherford Lamb | Apparatus for attachment to pipe handling arm |
US20080177285A1 (en) | 1998-02-24 | 2008-07-24 | Hansen Medical, Inc. | Surgical instrument |
US7713190B2 (en) | 1998-02-24 | 2010-05-11 | Hansen Medical, Inc. | Flexible instrument |
US20020128661A1 (en) * | 1998-02-24 | 2002-09-12 | Brock David L. | Surgical instrument |
IL123646A (en) | 1998-03-11 | 2010-05-31 | Refael Beyar | Remote control catheterization |
US6171234B1 (en) | 1998-09-25 | 2001-01-09 | Scimed Life Systems, Inc. | Imaging gore loading tool |
US6620173B2 (en) | 1998-12-08 | 2003-09-16 | Intuitive Surgical, Inc. | Method for introducing an end effector to a surgical site in minimally invasive surgery |
US6394998B1 (en) | 1999-01-22 | 2002-05-28 | Intuitive Surgical, Inc. | Surgical tools for use in minimally invasive telesurgical applications |
US6084371A (en) | 1999-02-19 | 2000-07-04 | Lockheed Martin Energy Research Corporation | Apparatus and methods for a human de-amplifier system |
CA2363254C (en) | 1999-03-07 | 2009-05-05 | Discure Ltd. | Method and apparatus for computerized surgery |
US6289579B1 (en) | 1999-03-23 | 2001-09-18 | Motorola, Inc. | Component alignment and transfer apparatus |
JP2003508133A (en) | 1999-08-27 | 2003-03-04 | ヴォルシュレーガー ヘルムート | Catheter handling device |
US8768516B2 (en) | 2009-06-30 | 2014-07-01 | Intuitive Surgical Operations, Inc. | Control of medical robotic system manipulator about kinematic singularities |
US8004229B2 (en) | 2005-05-19 | 2011-08-23 | Intuitive Surgical Operations, Inc. | Software center and highly configurable robotic systems for surgery and other uses |
US6427783B2 (en) | 2000-01-12 | 2002-08-06 | Baker Hughes Incorporated | Steerable modular drilling assembly |
WO2001051993A1 (en) | 2000-01-14 | 2001-07-19 | Advanced Micro Devices, Inc. | System, method and photomask for compensating aberrations in a photolithography patterning system |
US6858005B2 (en) | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
DE10025285A1 (en) | 2000-05-22 | 2001-12-06 | Siemens Ag | Fully automatic, robot-assisted camera guidance using position sensors for laparoscopic interventions |
US6902560B1 (en) | 2000-07-27 | 2005-06-07 | Intuitive Surgical, Inc. | Roll-pitch-roll surgical tool |
US20020100254A1 (en) | 2000-10-12 | 2002-08-01 | Dsd Communications, Inc. | System and method for targeted advertising and marketing |
DE50113363D1 (en) | 2000-10-20 | 2008-01-24 | Deere & Co | operating element |
US6676557B2 (en) | 2001-01-23 | 2004-01-13 | Black & Decker Inc. | First stage clutch |
US6487940B2 (en) | 2001-01-23 | 2002-12-03 | Associated Toolmakers Incorporated | Nut driver |
US8414505B1 (en) | 2001-02-15 | 2013-04-09 | Hansen Medical, Inc. | Catheter driver system |
US7766894B2 (en) | 2001-02-15 | 2010-08-03 | Hansen Medical, Inc. | Coaxial catheter system |
AU2002244016A1 (en) | 2001-02-15 | 2002-10-03 | Cunningham, Robert | Flexible surgical instrument |
US6612143B1 (en) | 2001-04-13 | 2003-09-02 | Orametrix, Inc. | Robot and method for bending orthodontic archwires and other medical devices |
US6640412B2 (en) | 2001-04-26 | 2003-11-04 | Endovascular Technologies, Inc. | Method for loading a stent using a collapsing machine |
WO2002089872A2 (en) | 2001-05-06 | 2002-11-14 | Stereotaxis, Inc. | System and methods for advancing a catheter |
US7766856B2 (en) | 2001-05-06 | 2010-08-03 | Stereotaxis, Inc. | System and methods for advancing a catheter |
US7635342B2 (en) | 2001-05-06 | 2009-12-22 | Stereotaxis, Inc. | System and methods for medical device advancement and rotation |
CA2351993C (en) | 2001-06-29 | 2003-02-18 | New World Technologie Inc. | Torque tool |
US20060199999A1 (en) | 2001-06-29 | 2006-09-07 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
US20040243147A1 (en) | 2001-07-03 | 2004-12-02 | Lipow Kenneth I. | Surgical robot and robotic controller |
US6676684B1 (en) | 2001-09-04 | 2004-01-13 | Intuitive Surgical, Inc. | Roll-pitch-roll-yaw surgical tool |
US6830545B2 (en) | 2002-05-13 | 2004-12-14 | Everest Vit | Tube gripper integral with controller for endoscope of borescope |
CA2633137C (en) | 2002-08-13 | 2012-10-23 | The Governors Of The University Of Calgary | Microsurgical robot system |
US7044936B2 (en) | 2002-08-21 | 2006-05-16 | Arrow International Inc. | Catheter connector with pivot lever spring latch |
US7660623B2 (en) | 2003-01-30 | 2010-02-09 | Medtronic Navigation, Inc. | Six degree of freedom alignment display for medical procedures |
EP1442720A1 (en) | 2003-01-31 | 2004-08-04 | Tre Esse Progettazione Biomedica S.r.l | Apparatus for the maneuvering of flexible catheters in the human cardiovascular system |
US7246273B2 (en) | 2003-02-28 | 2007-07-17 | Sony Corporation | Method of, apparatus and graphical user interface for automatic diagnostics |
US20050004579A1 (en) | 2003-06-27 | 2005-01-06 | Schneider M. Bret | Computer-assisted manipulation of catheters and guide wires |
US9002518B2 (en) | 2003-06-30 | 2015-04-07 | Intuitive Surgical Operations, Inc. | Maximum torque driving of robotic surgical tools in robotic surgical systems |
CA2548499C (en) | 2003-12-11 | 2012-08-21 | Cook Incorporated | Hemostatic valve assembly |
US8287584B2 (en) | 2005-11-14 | 2012-10-16 | Sadra Medical, Inc. | Medical implant deployment tool |
US7344494B2 (en) | 2004-02-09 | 2008-03-18 | Karl Storz Development Corp. | Endoscope with variable direction of view module |
US7204168B2 (en) | 2004-02-25 | 2007-04-17 | The University Of Manitoba | Hand controller and wrist device |
US8052636B2 (en) | 2004-03-05 | 2011-11-08 | Hansen Medical, Inc. | Robotic catheter system and methods |
EP2384715B1 (en) | 2004-03-05 | 2015-07-08 | Hansen Medical, Inc. | Robotic catheter system |
DE102004020465B3 (en) | 2004-04-26 | 2005-09-01 | Aumann Gmbh | Wire tension regulator for winding machine has braking wheel which may be driven by electric motor and braked by disk brake applied by moving coil actuator |
US7974674B2 (en) | 2004-05-28 | 2011-07-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic surgical system and method for surface modeling |
US10258285B2 (en) | 2004-05-28 | 2019-04-16 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic surgical system and method for automated creation of ablation lesions |
IL162318A (en) | 2004-06-03 | 2011-07-31 | Tal Wenderow | Transmission for a remote catheterization system |
US8005537B2 (en) | 2004-07-19 | 2011-08-23 | Hansen Medical, Inc. | Robotically controlled intravascular tissue injection system |
US7314097B2 (en) | 2005-02-24 | 2008-01-01 | Black & Decker Inc. | Hammer drill with a mode changeover mechanism |
US20060237205A1 (en) | 2005-04-21 | 2006-10-26 | Eastway Fair Company Limited | Mode selector mechanism for an impact driver |
US7789874B2 (en) | 2005-05-03 | 2010-09-07 | Hansen Medical, Inc. | Support assembly for robotic catheter system |
US8104479B2 (en) | 2005-06-23 | 2012-01-31 | Volcano Corporation | Pleated bag for interventional pullback systems |
US20070005002A1 (en) | 2005-06-30 | 2007-01-04 | Intuitive Surgical Inc. | Robotic surgical instruments for irrigation, aspiration, and blowing |
WO2007005976A1 (en) | 2005-07-01 | 2007-01-11 | Hansen Medical, Inc. | Robotic catheter system |
JP4763420B2 (en) | 2005-10-27 | 2011-08-31 | オリンパスメディカルシステムズ株式会社 | Endoscope operation assistance device |
JP5121132B2 (en) | 2005-11-02 | 2013-01-16 | オリンパスメディカルシステムズ株式会社 | Endoscope system and operation assist device for endoscope |
US20070149946A1 (en) | 2005-12-07 | 2007-06-28 | Viswanathan Raju R | Advancer system for coaxial medical devices |
CN101340852B (en) | 2005-12-20 | 2011-12-28 | 直观外科手术操作公司 | Instrument interface of a robotic surgical system |
US9266239B2 (en) | 2005-12-27 | 2016-02-23 | Intuitive Surgical Operations, Inc. | Constraint based control in a minimally invasive surgical apparatus |
US9962066B2 (en) | 2005-12-30 | 2018-05-08 | Intuitive Surgical Operations, Inc. | Methods and apparatus to shape flexible entry guides for minimally invasive surgery |
US7930065B2 (en) * | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
JP4789000B2 (en) | 2006-02-16 | 2011-10-05 | Smc株式会社 | Automatic reduction ratio switching device |
US9675375B2 (en) | 2006-03-29 | 2017-06-13 | Ethicon Llc | Ultrasonic surgical system and method |
CN101442952B (en) | 2006-05-17 | 2011-08-17 | 航生医疗公司 | Robotic instrument system |
CN104688281B (en) | 2006-06-13 | 2017-04-19 | 直观外科手术操作公司 | Minimally invasive surgical system |
US8491603B2 (en) | 2006-06-14 | 2013-07-23 | MacDonald Dettwiller and Associates Inc. | Surgical manipulator |
US8303449B2 (en) | 2006-08-01 | 2012-11-06 | Techtronic Power Tools Technology Limited | Automatic transmission for a power tool |
JP4755047B2 (en) | 2006-08-08 | 2011-08-24 | テルモ株式会社 | Working mechanism and manipulator |
US7935130B2 (en) | 2006-11-16 | 2011-05-03 | Intuitive Surgical Operations, Inc. | Two-piece end-effectors for robotic surgical tools |
US7699809B2 (en) | 2006-12-14 | 2010-04-20 | Urmey William F | Catheter positioning system |
US20080243064A1 (en) | 2007-02-15 | 2008-10-02 | Hansen Medical, Inc. | Support structure for robotic medical instrument |
US20080214925A1 (en) | 2007-03-01 | 2008-09-04 | Civco Medical Instruments Co., Inc. | Device for precision positioning of instruments at a mri scanner |
US7695154B2 (en) | 2007-04-05 | 2010-04-13 | Dpm Associates, Llc | Illuminating footwear accessory |
US20080262301A1 (en) | 2007-04-20 | 2008-10-23 | Wilson-Cook Medical Inc. | Steerable overtube |
WO2008154408A1 (en) | 2007-06-06 | 2008-12-18 | Tobey Wayland E | Modular hybrid snake arm |
US9096033B2 (en) | 2007-06-13 | 2015-08-04 | Intuitive Surgical Operations, Inc. | Surgical system instrument sterile adapter |
US8444631B2 (en) | 2007-06-14 | 2013-05-21 | Macdonald Dettwiler & Associates Inc | Surgical manipulator |
US20090082722A1 (en) | 2007-08-21 | 2009-03-26 | Munger Gareth T | Remote navigation advancer devices and methods of use |
US7998020B2 (en) | 2007-08-21 | 2011-08-16 | Stereotaxis, Inc. | Apparatus for selectively rotating and/or advancing an elongate device |
EP2190761B1 (en) | 2007-08-28 | 2013-10-30 | Marel A/S | Gripping device, for example for a robot |
CN100522507C (en) | 2007-10-19 | 2009-08-05 | 哈尔滨工业大学 | Flexible connecting line structure between integrated circuit board in the finger of robot delicacy hand |
JP2009139187A (en) | 2007-12-05 | 2009-06-25 | Sumitomo Heavy Ind Ltd | Torque measuring device |
JP5017076B2 (en) | 2007-12-21 | 2012-09-05 | テルモ株式会社 | Manipulator system and manipulator control method |
US8473031B2 (en) | 2007-12-26 | 2013-06-25 | Intuitive Surgical Operations, Inc. | Medical robotic system with functionality to determine and display a distance indicated by movement of a tool robotically manipulated by an operator |
CN101918073B (en) | 2008-01-16 | 2014-06-18 | 导管机器人技术公司 | Remotely controlled catheter insertion system |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
AU2009221324A1 (en) | 2008-03-07 | 2009-09-11 | Novozymes Adenium Biotech A/S | Use of defensins against tuberculosis |
JP5322153B2 (en) | 2008-03-25 | 2013-10-23 | Ntn株式会社 | Drive device for medical linear body |
US8317745B2 (en) | 2008-03-27 | 2012-11-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter rotatable device cartridge |
US7886743B2 (en) | 2008-03-31 | 2011-02-15 | Intuitive Surgical Operations, Inc. | Sterile drape interface for robotic surgical instrument |
US7938809B2 (en) | 2008-04-14 | 2011-05-10 | Merit Medical Systems, Inc. | Quick release hemostasis valve |
EP2821094B1 (en) | 2008-05-06 | 2018-07-04 | Corindus Inc. | Catheter system |
US8006590B2 (en) | 2008-05-12 | 2011-08-30 | Longyear Tm, Inc. | Open-faced rod spinner |
WO2009151205A1 (en) | 2008-06-11 | 2009-12-17 | (주)미래컴퍼니 | Instrument of surgical robot arm |
JP2010035768A (en) | 2008-08-04 | 2010-02-18 | Olympus Medical Systems Corp | Active drive type medical apparatus |
JP2010046384A (en) | 2008-08-25 | 2010-03-04 | Terumo Corp | Medical manipulator and experimental device |
US8390438B2 (en) | 2008-09-24 | 2013-03-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic catheter system including haptic feedback |
US9259274B2 (en) | 2008-09-30 | 2016-02-16 | Intuitive Surgical Operations, Inc. | Passive preload and capstan drive for surgical instruments |
US8720448B2 (en) | 2008-11-07 | 2014-05-13 | Hansen Medical, Inc. | Sterile interface apparatus |
US8095223B2 (en) | 2008-11-26 | 2012-01-10 | B. Braun Medical, Inc. | Apparatus and method for inserting a catheter |
US8602031B2 (en) | 2009-01-12 | 2013-12-10 | Hansen Medical, Inc. | Modular interfaces and drive actuation through barrier |
ITBO20090004U1 (en) | 2009-02-11 | 2010-08-12 | Tre Esse Progettazione Biomedica S R L | ROBOTIC MANIPULATOR FOR DISTANCE MANEUVERING OF STEERABLE CATHETERS IN THE HUMAN CARDIOVASCULAR SYSTEM. |
KR100961661B1 (en) | 2009-02-12 | 2010-06-09 | 주식회사 래보 | Apparatus and method of operating a medical navigation system |
US8694129B2 (en) | 2009-02-13 | 2014-04-08 | Cardiac Pacemakers, Inc. | Deployable sensor platform on the lead system of an implantable device |
US8423182B2 (en) | 2009-03-09 | 2013-04-16 | Intuitive Surgical Operations, Inc. | Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems |
EP2405824B1 (en) | 2009-03-14 | 2018-08-08 | Vasostitch, Inc. | Vessel access and closure device |
EP2233103B1 (en) | 2009-03-26 | 2017-11-15 | W & H Dentalwerk Bürmoos GmbH | Medical, in particular dental handpiece |
US10004387B2 (en) | 2009-03-26 | 2018-06-26 | Intuitive Surgical Operations, Inc. | Method and system for assisting an operator in endoscopic navigation |
KR101030371B1 (en) | 2009-04-27 | 2011-04-20 | 국립암센터 | Endoscope manipulator for minimal invasive surgery |
GB0908368D0 (en) | 2009-05-15 | 2009-06-24 | Univ Leuven Kath | Adjustable remote center of motion positioner |
ES2388029B1 (en) | 2009-05-22 | 2013-08-13 | Universitat Politècnica De Catalunya | ROBOTIC SYSTEM FOR LAPAROSCOPIC SURGERY. |
US10537713B2 (en) | 2009-05-25 | 2020-01-21 | Stereotaxis, Inc. | Remote manipulator device |
US20110009863A1 (en) | 2009-07-10 | 2011-01-13 | Tyco Healthcare Group Lp | Shaft Constructions for Medical Devices with an Articulating Tip |
US20110015484A1 (en) | 2009-07-16 | 2011-01-20 | Alvarez Jeffrey B | Endoscopic robotic catheter system |
US20110015648A1 (en) | 2009-07-16 | 2011-01-20 | Hansen Medical, Inc. | Endoscopic robotic catheter system |
US8277417B2 (en) | 2009-09-23 | 2012-10-02 | James J. Fedinec | Central venous catheter kit with line gripping and needle localizing devices |
US20110071541A1 (en) | 2009-09-23 | 2011-03-24 | Intuitive Surgical, Inc. | Curved cannula |
BR112012007564A2 (en) | 2009-10-01 | 2016-08-16 | Mako Surgical Corp | surgical system for positioning prosthetic component and / or for restricting surgical tool movement |
JP5770200B2 (en) | 2009-11-12 | 2015-08-26 | コーニンクレッカ フィリップス エヌ ヴェ | Steering system and catheter system |
KR101764780B1 (en) * | 2009-11-13 | 2017-08-03 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | End effector with redundant closing mechanisms |
EP2501319A1 (en) | 2009-11-16 | 2012-09-26 | Koninklijke Philips Electronics N.V. | Human-robot shared control for endoscopic assistant robot |
US8932211B2 (en) | 2012-06-22 | 2015-01-13 | Macroplata, Inc. | Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment |
DE102010031274B4 (en) | 2009-12-18 | 2023-06-22 | Robert Bosch Gmbh | Hand tool with gear cooling |
US20110152880A1 (en) | 2009-12-23 | 2011-06-23 | Hansen Medical, Inc. | Flexible and steerable elongate instruments with torsion control |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
EP3659661A1 (en) | 2010-03-02 | 2020-06-03 | Corindus Inc. | Robotic catheter system with variable drive mechanism |
US9610133B2 (en) | 2010-03-16 | 2017-04-04 | Covidien Lp | Wireless laparoscopic camera |
EP2517613B1 (en) * | 2010-03-17 | 2016-10-19 | Olympus Corporation | Endoscope system |
US9950139B2 (en) | 2010-05-14 | 2018-04-24 | C. R. Bard, Inc. | Catheter placement device including guidewire and catheter control elements |
DE102010029275A1 (en) | 2010-05-25 | 2011-12-01 | Siemens Aktiengesellschaft | Method for moving an instrument arm of a Laparoskopierobotors in a predetermined relative position to a trocar |
US8672837B2 (en) | 2010-06-24 | 2014-03-18 | Hansen Medical, Inc. | Methods and devices for controlling a shapeable medical device |
US8226580B2 (en) | 2010-06-30 | 2012-07-24 | Biosense Webster (Israel), Ltd. | Pressure sensing for a multi-arm catheter |
KR101911843B1 (en) | 2010-08-02 | 2018-10-25 | 더 존스 홉킨스 유니버시티 | Tool exchange interface and control algorithm for cooperative surgical robots |
WO2012035923A1 (en) | 2010-09-14 | 2012-03-22 | オリンパスメディカルシステムズ株式会社 | Endoscope system and poor visibility determination method |
US9314306B2 (en) | 2010-09-17 | 2016-04-19 | Hansen Medical, Inc. | Systems and methods for manipulating an elongate member |
WO2012049623A1 (en) | 2010-10-11 | 2012-04-19 | Ecole Polytechnique Federale De Lausanne (Epfl) | Mechanical manipulator for surgical instruments |
CN201884596U (en) | 2010-11-02 | 2011-06-29 | 李国铭 | Differential mechanism |
KR102102708B1 (en) | 2010-11-15 | 2020-04-21 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Decoupling instrument shaft roll and end effector actuation in a surgical instrument |
DE102011003118A1 (en) | 2011-01-25 | 2012-07-26 | Krones Aktiengesellschaft | closing |
DE102011011497A1 (en) | 2011-02-17 | 2012-08-23 | Kuka Roboter Gmbh | Surgical instrument |
CN103327922B (en) | 2011-02-18 | 2017-03-22 | 直观外科手术操作公司 | Fusing and cutting surgical instrument and related methods |
CN103764216B (en) | 2011-05-03 | 2016-08-17 | 施菲姆德控股有限责任公司 | Delivery catheter can be turned to |
WO2013009252A2 (en) | 2011-07-11 | 2013-01-17 | Medical Vision Research & Development Ab | Status control for electrically powered surgical tool systems |
JP5931497B2 (en) | 2011-08-04 | 2016-06-08 | オリンパス株式会社 | Surgery support apparatus and assembly method thereof |
CN102973317A (en) | 2011-09-05 | 2013-03-20 | 周宁新 | Arrangement structure for mechanical arm of minimally invasive surgery robot |
FR2979532B1 (en) | 2011-09-07 | 2015-02-20 | Robocath | MODULE AND METHOD FOR DRIVING LONG SOFT MEDICAL ORGANS AND ASSOCIATED ROBOTIC SYSTEM |
EP2755591B1 (en) | 2011-09-16 | 2020-11-18 | Auris Health, Inc. | System for displaying an image of a patient anatomy on a movable display |
WO2013043804A1 (en) | 2011-09-20 | 2013-03-28 | Corindus, Inc. | Catheter force measurement apparatus and method |
US9504604B2 (en) | 2011-12-16 | 2016-11-29 | Auris Surgical Robotics, Inc. | Lithotripsy eye treatment |
US20140142591A1 (en) | 2012-04-24 | 2014-05-22 | Auris Surgical Robotics, Inc. | Method, apparatus and a system for robotic assisted surgery |
US10383765B2 (en) | 2012-04-24 | 2019-08-20 | Auris Health, Inc. | Apparatus and method for a global coordinate system for use in robotic surgery |
DE102012207060A1 (en) | 2012-04-27 | 2013-10-31 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Robot assembly for use in medical fields |
US20130317519A1 (en) | 2012-05-25 | 2013-11-28 | Hansen Medical, Inc. | Low friction instrument driver interface for robotic systems |
JP2014004310A (en) | 2012-05-31 | 2014-01-16 | Canon Inc | Medical instrument |
CN104363850B (en) | 2012-06-01 | 2017-08-18 | 直观外科手术操作公司 | System and method for avoiding colliding between manipulator arm using kernel |
US9364230B2 (en) | 2012-06-28 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with rotary joint assemblies |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9119657B2 (en) * | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US20140005702A1 (en) * | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
KR20150018601A (en) | 2012-07-03 | 2015-02-23 | 쿠카 레보라토리즈 게엠베하 | Surgical instrument arrangement and drive train arrangement for a surgical instrument, in particular a robot-guided surgical instrument, and surgical instrument |
WO2014028557A1 (en) | 2012-08-15 | 2014-02-20 | Intuitive Surgical Operations, Inc. | Phantom degrees of freedom for manipulating the movement of mechanical bodies |
JP6250673B2 (en) | 2012-08-15 | 2017-12-20 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | Movable surgical mounting platform controlled by manual robot arm movement |
KR102196291B1 (en) | 2012-10-12 | 2020-12-30 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Determining position of medical device in branched anatomical structure |
US8671817B1 (en) | 2012-11-28 | 2014-03-18 | Hansen Medical, Inc. | Braiding device for catheter having acuately varying pullwires |
JP2014134530A (en) | 2012-12-14 | 2014-07-24 | Panasonic Corp | Force measurement device, force measurement method, force measurement program, force measurement integrated electronic circuit and master-slave device |
US10231867B2 (en) | 2013-01-18 | 2019-03-19 | Auris Health, Inc. | Method, apparatus and system for a water jet |
DE102013002813B4 (en) | 2013-02-19 | 2017-11-09 | Rg Mechatronics Gmbh | Holding device with at least one jaw for a robotic surgical system |
DE102013002818A1 (en) | 2013-02-19 | 2014-08-21 | Rg Mechatronics Gmbh | Holding device for a surgical instrument and a lock and method for operating a robot with such a holding device |
EP2964069B8 (en) | 2013-02-26 | 2020-07-15 | ELMED Electronics and Medical Industry and Trade Inc. (A.S.) | A robotic manipulator system |
US9668814B2 (en) | 2013-03-07 | 2017-06-06 | Hansen Medical, Inc. | Infinitely rotatable tool with finite rotating drive shafts |
US10080576B2 (en) | 2013-03-08 | 2018-09-25 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
US10149720B2 (en) | 2013-03-08 | 2018-12-11 | Auris Health, Inc. | Method, apparatus, and a system for facilitating bending of an instrument in a surgical or medical robotic environment |
US9867635B2 (en) | 2013-03-08 | 2018-01-16 | Auris Surgical Robotics, Inc. | Method, apparatus and system for a water jet |
US9057600B2 (en) | 2013-03-13 | 2015-06-16 | Hansen Medical, Inc. | Reducing incremental measurement sensor error |
US20140276389A1 (en) | 2013-03-13 | 2014-09-18 | Sean Walker | Selective grip device for drive mechanism |
US9326822B2 (en) | 2013-03-14 | 2016-05-03 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US9173713B2 (en) | 2013-03-14 | 2015-11-03 | Hansen Medical, Inc. | Torque-based catheter articulation |
WO2014151952A1 (en) | 2013-03-14 | 2014-09-25 | Sri International | Compact robotic wrist |
US9498601B2 (en) | 2013-03-14 | 2016-11-22 | Hansen Medical, Inc. | Catheter tension sensing |
US11213363B2 (en) | 2013-03-14 | 2022-01-04 | Auris Health, Inc. | Catheter tension sensing |
US20140277334A1 (en) | 2013-03-14 | 2014-09-18 | Hansen Medical, Inc. | Active drives for robotic catheter manipulators |
US20140276394A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Input device for controlling a catheter |
US20140276647A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Vascular remote catheter manipulator |
US9452018B2 (en) | 2013-03-15 | 2016-09-27 | Hansen Medical, Inc. | Rotational support for an elongate member |
US9408669B2 (en) | 2013-03-15 | 2016-08-09 | Hansen Medical, Inc. | Active drive mechanism with finite range of motion |
US20140276936A1 (en) | 2013-03-15 | 2014-09-18 | Hansen Medical, Inc. | Active drive mechanism for simultaneous rotation and translation |
US9918659B2 (en) | 2013-03-15 | 2018-03-20 | Intuitive Surgical Operations, Inc. | Shape sensor systems for tracking interventional instruments and mehods of use |
US11020016B2 (en) | 2013-05-30 | 2021-06-01 | Auris Health, Inc. | System and method for displaying anatomy and devices on a movable display |
US10744035B2 (en) | 2013-06-11 | 2020-08-18 | Auris Health, Inc. | Methods for robotic assisted cataract surgery |
US20140375784A1 (en) | 2013-06-21 | 2014-12-25 | Omnivision Technologies, Inc. | Image Sensor With Integrated Orientation Indicator |
JP6037964B2 (en) | 2013-07-26 | 2016-12-07 | オリンパス株式会社 | Manipulator system |
US10426661B2 (en) | 2013-08-13 | 2019-10-01 | Auris Health, Inc. | Method and apparatus for laser assisted cataract surgery |
US11166646B2 (en) | 2013-08-15 | 2021-11-09 | Intuitive Surgical Operations Inc. | Systems and methods for medical procedure confirmation |
US9993614B2 (en) | 2013-08-27 | 2018-06-12 | Catheter Precision, Inc. | Components for multiple axis control of a catheter in a catheter positioning system |
US9763741B2 (en) | 2013-10-24 | 2017-09-19 | Auris Surgical Robotics, Inc. | System for robotic-assisted endolumenal surgery and related methods |
US9737373B2 (en) | 2013-10-24 | 2017-08-22 | Auris Surgical Robotics, Inc. | Instrument device manipulator and surgical drape |
US9962226B2 (en) | 2013-11-28 | 2018-05-08 | Alcon Pharmaceuticals Ltd. | Ophthalmic surgical systems, methods, and devices |
CN103735313B (en) | 2013-12-11 | 2016-08-17 | 中国科学院深圳先进技术研究院 | A kind of operating robot and state monitoring method thereof |
US9539020B2 (en) | 2013-12-27 | 2017-01-10 | Ethicon Endo-Surgery, Llc | Coupling features for ultrasonic surgical instrument |
JP6192550B2 (en) | 2014-01-29 | 2017-09-06 | オリンパス株式会社 | Medical device and medical system |
JP6473757B2 (en) | 2014-02-07 | 2019-02-20 | コヴィディエン リミテッド パートナーシップ | Input device assembly for a robotic surgical system |
CN111938820A (en) | 2014-02-21 | 2020-11-17 | 直观外科手术操作公司 | Mechanical joints and related systems and methods |
US10046140B2 (en) | 2014-04-21 | 2018-08-14 | Hansen Medical, Inc. | Devices, systems, and methods for controlling active drive systems |
US10569052B2 (en) | 2014-05-15 | 2020-02-25 | Auris Health, Inc. | Anti-buckling mechanisms for catheters |
US9744335B2 (en) | 2014-07-01 | 2017-08-29 | Auris Surgical Robotics, Inc. | Apparatuses and methods for monitoring tendons of steerable catheters |
US9788910B2 (en) | 2014-07-01 | 2017-10-17 | Auris Surgical Robotics, Inc. | Instrument-mounted tension sensing mechanism for robotically-driven medical instruments |
US20160270865A1 (en) | 2014-07-01 | 2016-09-22 | Auris Surgical Robotics, Inc. | Reusable catheter with disposable balloon attachment and tapered tip |
US20170007337A1 (en) | 2014-07-01 | 2017-01-12 | Auris Surgical Robotics, Inc. | Driver-mounted torque sensing mechanism |
US10159533B2 (en) | 2014-07-01 | 2018-12-25 | Auris Health, Inc. | Surgical system with configurable rail-mounted mechanical arms |
US9561083B2 (en) | 2014-07-01 | 2017-02-07 | Auris Surgical Robotics, Inc. | Articulating flexible endoscopic tool with roll capabilities |
US10792464B2 (en) | 2014-07-01 | 2020-10-06 | Auris Health, Inc. | Tool and method for using surgical endoscope with spiral lumens |
WO2016025132A1 (en) | 2014-08-13 | 2016-02-18 | Covidien Lp | Robotically controlling mechanical advantage gripping |
EP3834763A1 (en) | 2014-08-15 | 2021-06-16 | Intuitive Surgical Operations, Inc. | A surgical system with variable entry guide configurations |
EP3193767B1 (en) | 2014-09-15 | 2022-04-20 | Covidien LP | Robotically controlling surgical assemblies |
JP6689832B2 (en) | 2014-09-30 | 2020-04-28 | オーリス ヘルス インコーポレイテッド | Configurable robotic surgery system with provisional trajectory and flexible endoscope |
US10314463B2 (en) | 2014-10-24 | 2019-06-11 | Auris Health, Inc. | Automated endoscope calibration |
DE102014222293A1 (en) | 2014-10-31 | 2016-05-19 | Siemens Aktiengesellschaft | Method for automatically monitoring the penetration behavior of a trocar held by a robot arm and monitoring system |
US9949719B2 (en) | 2014-12-16 | 2018-04-24 | General Electric Company | Breast imaging method and system |
WO2016098251A1 (en) | 2014-12-19 | 2016-06-23 | オリンパス株式会社 | Insertion and removal support device and insertion and removal support method |
JP6657244B2 (en) | 2015-02-26 | 2020-03-04 | コヴィディエン リミテッド パートナーシップ | Robot controlled remote motion center with software and guide tube |
US10420618B2 (en) * | 2015-02-26 | 2019-09-24 | Covidien Lp | Instrument drive unit including lead screw rails |
US10856726B2 (en) | 2015-03-25 | 2020-12-08 | Sony Corporation | Medical support arm apparatus |
US20160287279A1 (en) | 2015-04-01 | 2016-10-06 | Auris Surgical Robotics, Inc. | Microsurgical tool for robotic applications |
WO2016164824A1 (en) | 2015-04-09 | 2016-10-13 | Auris Surgical Robotics, Inc. | Surgical system with configurable rail-mounted mechanical arms |
EP3666213B1 (en) | 2015-05-11 | 2024-05-01 | Covidien LP | Coupling instrument drive unit and robotic surgical instrument |
WO2016187054A1 (en) | 2015-05-15 | 2016-11-24 | Auris Surgical Robotics, Inc. | Surgical robotics system |
JP6157792B2 (en) | 2015-06-01 | 2017-07-05 | オリンパス株式会社 | Medical manipulator |
US10667877B2 (en) | 2015-06-19 | 2020-06-02 | Covidien Lp | Controlling robotic surgical instruments with bidirectional coupling |
CA2987652A1 (en) | 2015-06-23 | 2016-12-29 | Covidien Lp | A surgical instrument and instrument drive connector for use with robotic surgical systems |
US11198226B2 (en) | 2015-07-09 | 2021-12-14 | Kawasaki Jukogyo Kabushiki Kaisha | Surgical robot |
EP3325233A1 (en) | 2015-07-23 | 2018-05-30 | SRI International Inc. | Robotic arm and robotic surgical system |
CN105147393B (en) | 2015-08-19 | 2017-06-20 | 哈尔滨工业大学 | A kind of minimally invasive robot holds mirror mechanical arm |
CN114305731A (en) | 2015-08-27 | 2022-04-12 | 福康精准医疗系统公司 | Movable interface between stepper and stabilizer |
JP6938507B2 (en) | 2015-09-09 | 2021-09-22 | オーリス ヘルス インコーポレイテッド | Instrument device manipulator for surgical support robot system |
CN108778113B (en) | 2015-09-18 | 2022-04-15 | 奥瑞斯健康公司 | Navigation of tubular networks |
WO2017059412A1 (en) | 2015-10-02 | 2017-04-06 | Vanderbilt University | Concentric tube robot |
US9949749B2 (en) | 2015-10-30 | 2018-04-24 | Auris Surgical Robotics, Inc. | Object capture with a basket |
US10639108B2 (en) | 2015-10-30 | 2020-05-05 | Auris Health, Inc. | Process for percutaneous operations |
US9955986B2 (en) | 2015-10-30 | 2018-05-01 | Auris Surgical Robotics, Inc. | Basket apparatus |
WO2017083201A1 (en) | 2015-11-11 | 2017-05-18 | Intuitive Surgical Operations, Inc. | Reconfigurable end effector architecture |
US10874475B2 (en) | 2015-11-12 | 2020-12-29 | Covidien Lp | Robotic surgical systems and methods for monitoring applied forces |
US10219871B2 (en) | 2015-11-23 | 2019-03-05 | Alireza Mirbagheri | Robotic system for tele-surgery |
CN105559850B (en) | 2015-12-17 | 2017-08-25 | 天津工业大学 | It is a kind of to be used for the surgical drill apparatus that robot assisted surgery has power sensing function |
US10932861B2 (en) | 2016-01-14 | 2021-03-02 | Auris Health, Inc. | Electromagnetic tracking surgical system and method of controlling the same |
US10932691B2 (en) | 2016-01-26 | 2021-03-02 | Auris Health, Inc. | Surgical tools having electromagnetic tracking components |
WO2017151993A1 (en) | 2016-03-04 | 2017-09-08 | Covidien Lp | Electromechanical surgical systems and robotic surgical instruments thereof |
US11324554B2 (en) | 2016-04-08 | 2022-05-10 | Auris Health, Inc. | Floating electromagnetic field generator system and method of controlling the same |
US10454347B2 (en) | 2016-04-29 | 2019-10-22 | Auris Health, Inc. | Compact height torque sensing articulation axis assembly |
US10888428B2 (en) | 2016-05-12 | 2021-01-12 | University Of Notre Dame Du Lac | Additive manufacturing device for biomaterials |
JP7022709B2 (en) | 2016-07-01 | 2022-02-18 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | Computer-aided medical system and method |
US11037464B2 (en) | 2016-07-21 | 2021-06-15 | Auris Health, Inc. | System with emulator movement tracking for controlling medical devices |
US9943377B2 (en) | 2016-08-16 | 2018-04-17 | Ethicon Endo-Surgery, Llc | Methods, systems, and devices for causing end effector motion with a robotic surgical system |
US10993760B2 (en) | 2016-08-16 | 2021-05-04 | Ethicon, Llc | Modular surgical robotic tool |
US10398517B2 (en) | 2016-08-16 | 2019-09-03 | Ethicon Llc | Surgical tool positioning based on sensed parameters |
US10736702B2 (en) | 2016-08-16 | 2020-08-11 | Ethicon Llc | Activating and rotating surgical end effectors |
US11241559B2 (en) | 2016-08-29 | 2022-02-08 | Auris Health, Inc. | Active drive for guidewire manipulation |
WO2018044306A1 (en) | 2016-08-31 | 2018-03-08 | Auris Surgical Robotics, Inc. | Length conservative surgical instrument |
US9931025B1 (en) | 2016-09-30 | 2018-04-03 | Auris Surgical Robotics, Inc. | Automated calibration of endoscopes with pull wires |
CN109715104B (en) | 2016-10-04 | 2022-10-18 | 直观外科手术操作公司 | Computer-assisted teleoperated surgical systems and methods |
US10286556B2 (en) | 2016-10-16 | 2019-05-14 | The Boeing Company | Method and apparatus for compliant robotic end-effector |
US10136959B2 (en) | 2016-12-28 | 2018-11-27 | Auris Health, Inc. | Endolumenal object sizing |
US10543048B2 (en) | 2016-12-28 | 2020-01-28 | Auris Health, Inc. | Flexible instrument insertion using an adaptive insertion force threshold |
US10244926B2 (en) | 2016-12-28 | 2019-04-02 | Auris Health, Inc. | Detecting endolumenal buckling of flexible instruments |
US10820951B2 (en) | 2017-03-14 | 2020-11-03 | Verb Surgical Inc. | Techniques for damping vibration in a robotic surgical system |
CN116585031A (en) | 2017-03-22 | 2023-08-15 | 直观外科手术操作公司 | System and method for intelligent seed registration |
JP7159192B2 (en) | 2017-03-28 | 2022-10-24 | オーリス ヘルス インコーポレイテッド | shaft actuation handle |
CN108990412B (en) | 2017-03-31 | 2022-03-22 | 奥瑞斯健康公司 | Robot system for cavity network navigation compensating physiological noise |
US10285574B2 (en) | 2017-04-07 | 2019-05-14 | Auris Health, Inc. | Superelastic medical instrument |
KR102550962B1 (en) | 2017-04-07 | 2023-07-06 | 아우리스 헬스, 인코포레이티드 | Align the patient introducer |
CN110831498B (en) | 2017-05-12 | 2022-08-12 | 奥瑞斯健康公司 | Biopsy device and system |
AU2018270785B2 (en) | 2017-05-17 | 2023-11-23 | Auris Health, Inc. | Exchangeable working channel |
US10022192B1 (en) | 2017-06-23 | 2018-07-17 | Auris Health, Inc. | Automatically-initialized robotic systems for navigation of luminal networks |
US10299870B2 (en) | 2017-06-28 | 2019-05-28 | Auris Health, Inc. | Instrument insertion compensation |
CN110809452B (en) | 2017-06-28 | 2023-05-23 | 奥瑞斯健康公司 | Electromagnetic field generator alignment |
US11026758B2 (en) | 2017-06-28 | 2021-06-08 | Auris Health, Inc. | Medical robotics systems implementing axis constraints during actuation of one or more motorized joints |
CN110913788B (en) | 2017-06-28 | 2024-03-12 | 奥瑞斯健康公司 | Electromagnetic distortion detection |
US10426559B2 (en) | 2017-06-30 | 2019-10-01 | Auris Health, Inc. | Systems and methods for medical instrument compression compensation |
US10464209B2 (en) | 2017-10-05 | 2019-11-05 | Auris Health, Inc. | Robotic system with indication of boundary for robotic arm |
US10145747B1 (en) | 2017-10-10 | 2018-12-04 | Auris Health, Inc. | Detection of undesirable forces on a surgical robotic arm |
US10016900B1 (en) | 2017-10-10 | 2018-07-10 | Auris Health, Inc. | Surgical robotic arm admittance control |
US11058493B2 (en) | 2017-10-13 | 2021-07-13 | Auris Health, Inc. | Robotic system configured for navigation path tracing |
US10555778B2 (en) | 2017-10-13 | 2020-02-11 | Auris Health, Inc. | Image-based branch detection and mapping for navigation |
EP3684282B1 (en) | 2017-12-06 | 2024-02-21 | Auris Health, Inc. | Systems to correct for uncommanded instrument roll |
JP7208237B2 (en) | 2017-12-08 | 2023-01-18 | オーリス ヘルス インコーポレイテッド | Systems and medical devices for performing medical procedures |
CN110831534B (en) | 2017-12-08 | 2023-04-28 | 奥瑞斯健康公司 | System and method for medical instrument navigation and targeting |
CN111770736A (en) | 2017-12-11 | 2020-10-13 | 奥瑞斯健康公司 | System and method for instrument-based insertion architecture |
CN110869173B (en) | 2017-12-14 | 2023-11-17 | 奥瑞斯健康公司 | System and method for estimating instrument positioning |
EP3684283A4 (en) | 2017-12-18 | 2021-07-14 | Auris Health, Inc. | Methods and systems for instrument tracking and navigation within luminal networks |
US10888386B2 (en) | 2018-01-17 | 2021-01-12 | Auris Health, Inc. | Surgical robotics systems with improved robotic arms |
US10517692B2 (en) | 2018-01-17 | 2019-12-31 | Auris Health, Inc. | Surgical platform with adjustable arm supports |
KR20240118200A (en) | 2018-02-13 | 2024-08-02 | 아우리스 헬스, 인코포레이티드 | System and method for driving medical instrument |
MX2020009075A (en) | 2018-03-01 | 2021-03-25 | Auris Health Inc | Methods and systems for mapping and navigation. |
US11109920B2 (en) | 2018-03-28 | 2021-09-07 | Auris Health, Inc. | Medical instruments with variable bending stiffness profiles |
US10524866B2 (en) | 2018-03-28 | 2020-01-07 | Auris Health, Inc. | Systems and methods for registration of location sensors |
JP7225259B2 (en) | 2018-03-28 | 2023-02-20 | オーリス ヘルス インコーポレイテッド | Systems and methods for indicating probable location of instruments |
JP7322057B2 (en) | 2018-03-29 | 2023-08-07 | オーリス ヘルス インコーポレイテッド | Robotically controllable medical system with multi-function end effector with rotational offset |
MX2020012902A (en) | 2018-05-30 | 2021-02-26 | Auris Health Inc | Systems and methods for location sensor-based branch prediction. |
MX2020012904A (en) | 2018-05-31 | 2021-02-26 | Auris Health Inc | Image-based airway analysis and mapping. |
MX2020012898A (en) | 2018-05-31 | 2021-02-26 | Auris Health Inc | Path-based navigation of tubular networks. |
CN112236083B (en) | 2018-05-31 | 2024-08-13 | 奥瑞斯健康公司 | Robotic system and method for navigating a lumen network that detects physiological noise |
US10744981B2 (en) | 2018-06-06 | 2020-08-18 | Sensata Technologies, Inc. | Electromechanical braking connector |
CN112218596A (en) | 2018-06-07 | 2021-01-12 | 奥瑞斯健康公司 | Robotic medical system with high-force instruments |
WO2020005370A1 (en) | 2018-06-27 | 2020-01-02 | Auris Health, Inc. | Systems and techniques for providing multiple perspectives during medical procedures |
US11399905B2 (en) | 2018-06-28 | 2022-08-02 | Auris Health, Inc. | Medical systems incorporating pulley sharing |
US10898276B2 (en) | 2018-08-07 | 2021-01-26 | Auris Health, Inc. | Combining strain-based shape sensing with catheter control |
EP3806772A4 (en) | 2018-08-15 | 2022-03-30 | Auris Health, Inc. | Medical instruments for tissue cauterization |
WO2020036686A1 (en) | 2018-08-17 | 2020-02-20 | Auris Health, Inc. | Bipolar medical instrument |
US10881280B2 (en) | 2018-08-24 | 2021-01-05 | Auris Health, Inc. | Manually and robotically controllable medical instruments |
WO2020068853A2 (en) | 2018-09-26 | 2020-04-02 | Auris Health, Inc. | Articulating medical instruments |
WO2020068303A1 (en) | 2018-09-26 | 2020-04-02 | Auris Health, Inc. | Systems and instruments for suction and irrigation |
KR20210073542A (en) | 2018-09-28 | 2021-06-18 | 아우리스 헬스, 인코포레이티드 | Systems and methods for docking medical instruments |
EP3856001A4 (en) | 2018-09-28 | 2022-06-22 | Auris Health, Inc. | Devices, systems, and methods for manually and robotically driving medical instruments |
US11576738B2 (en) | 2018-10-08 | 2023-02-14 | Auris Health, Inc. | Systems and instruments for tissue sealing |
US11950863B2 (en) | 2018-12-20 | 2024-04-09 | Auris Health, Inc | Shielding for wristed instruments |
JP7480152B2 (en) | 2018-12-28 | 2024-05-09 | オーリス ヘルス インコーポレイテッド | Percutaneous sheath for robotic medical systems and methods |
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